Individual
DANIEL B JEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
1416 N SPRINGFIELD AVE, CHICAGO, IL 60651-2042
(773) 964-2868
Mailing address
1416 N SPRINGFIELD AVE, CHICAGO, IL 60651-2042
(773) 964-2868
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022935
IL
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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