Individual
RENATA HACKLEY-HEADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1580 N NORTHWEST HWY STE 116, PARK RIDGE, IL 60068-1470
(847) 220-7038
Mailing address
1580 N NORTHWEST HWY STE 116, PARK RIDGE, IL 60068-1470
(847) 220-7038
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.129026
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150.129026
LICENSED SOCIAL WORKER
IL
Enumeration date
08/05/2026
Last updated
08/05/2026
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