Individual
ANA FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
440 W BOUGHTON RD STE 104, BOLINGBROOK, IL 60440-1406
(815) 295-5470
Mailing address
619 BELMONT AVE, OSWEGO, IL 60543-7729
(815) 216-7016
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.101593
IL
1041C0700X
Clinical Social Worker
Primary
149025776
IL
Other
Enumeration date
11/14/2019
Last updated
03/26/2026
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