Individual
ALEJANDRA AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 CENTRAL AVE, NORTHFIELD, IL 60093-3006
(847) 441-5600
Mailing address
2709 W CHEYENNE RD, WAUKEGAN, IL 60087-4546
(224) 730-2462
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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