Individual
MISS LILIAN GALVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 WASHINGTON ST STE 200, WAUKEGAN, IL 60085-5564
(847) 441-5600
Mailing address
405 CENTRAL AVE, NORTHFIELD, IL 60093-3006
(847) 441-5600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073548640
MENTAL HEALTH
IL
Enumeration date
03/16/2022
Last updated
03/16/2022
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