Individual
CARLOS P CANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3934 W 26TH ST STE 204, CHICAGO, IL 60623-3743
(773) 707-9775
(312) 957-6252
Mailing address
3017 S LAWNDALE AVE, CHICAGO, IL 60623-4549
(773) 707-9775
(312) 957-6252
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1467799908
IL
1041C0700X
Clinical Social Worker
149.015533
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.015533
LICENSED NO.
IL
Enumeration date
01/03/2013
Last updated
11/10/2022
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