Individual
AMANDA IZAGUIRRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10200 GRAND AVE, FRANKLIN PARK, IL 60131-3139
(847) 455-5688
Mailing address
10200 GRAND AVE, FRANKLIN PARK, IL 60131-3139
(847) 455-5688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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