Individual
HILLARY BUZAID MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2348 S RIDGEWAY AVE, CHICAGO, IL 60623-3027
(773) 726-1173
Mailing address
700 N GREEN ST STE 106, CHICAGO, IL 60642-5996
(312) 620-8836
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881081263
—
IL
Enumeration date
06/24/2019
Last updated
03/05/2025
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