Individual
FAYE BAULCH BREINING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AM
Contact information
Practice address
1525 E 53RD ST STE 933, CHICAGO, IL 60615-4572
(773) 219-0605
Mailing address
1128 E 54TH PL # 1, CHICAGO, IL 60615-5110
(615) 934-3653
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.118059
IL
Other
Enumeration date
08/30/2024
Last updated
10/03/2025
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