Individual
BEVERLY AVILA LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646
(312) 666-3494
(312) 666-6228
Mailing address
3444 S MARSHFIELD AVE, CHICAGO, IL 60608-6210
(773) 542-4364
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150115648
IL
Other
Enumeration date
08/04/2025
Last updated
08/08/2025
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