Individual
CHARLISA BUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10540 S WESTERN AVE STE 208, CHICAGO, IL 60643-2529
(773) 840-4600
Mailing address
10540 S WESTERN AVE STE 208, CHICAGO, IL 60643-2529
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.110328
IL
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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