Individual
MISS DIANA YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4250 N MARINE DR, SUITE 236, CHICAGO, IL 60613-1744
(773) 680-0320
Mailing address
PO BOX 5942, CHICAGO, IL 60680-5942
(773) 680-0320
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
12/13/2010
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