Individual
MYRA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1200 E INDIAN TRL, AURORA, IL 60505-1896
(630) 256-5000
Mailing address
3154 WHIRLAWAY LN, MONTGOMERY, IL 60538-3429
(630) 605-9076
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
362169149
TAX ID
IL
Enumeration date
09/03/2021
Last updated
09/21/2021
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