Individual
CAROLINE QUINTANILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
737 N MICHIGAN AVE STE 1925, CHICAGO, IL 60611-5422
(312) 283-2650
Mailing address
821A W CORNELIA AVE APT 111, CHICAGO, IL 60657-1745
(779) 770-8922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.021660
IL
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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