Individual
MR. DAVID MANUEL SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7375 CUMBERLAND DR, HANOVER PARK, IL 60133-2673
(773) 908-0454
Mailing address
7375 CUMBERLAND DRIVE, HANOVER PARK, IL 60133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015932
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IL
Enumeration date
05/24/2013
Last updated
08/11/2016
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