Individual
ANDRES RICARDO MONCEBAIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
2930 W GRAND AVE, CHICAGO, IL 60622-4308
(872) 817-9858
Mailing address
2930 W GRAND AVE, CHICAGO, IL 60622-4308
(872) 817-9858
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150106840
IL
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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