Individual
LORENA BREJC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
815 MAIN ST, SUITE B, PEORIA, IL 61602-1076
(309) 672-4908
Mailing address
5100 RELIABLE PKWY, CHICAGO, IL 60686-0001
(309) 672-4809
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361110791
—
IL
01
—
104282
HEALTH ALLIANCE
IL
01
—
472301
HEALTHLINK
IL
01
—
7215059
BCBS PPO
IL
Enumeration date
07/26/2006
Last updated
07/08/2007
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