Individual
LANITA P REIVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LSW
Contact information
Practice address
1371 ABBOTT CT, BUFFALO GROVE, IL 60089-2367
(847) 777-8995
Mailing address
2717 GALILEE AVE, ZION, IL 60099-2497
(312) 522-9703
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150113596
IL
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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