Individual
FATIMA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18640 W. ROUTE 120, GRAYSLAKE, IL 60030
(847) 548-6000
Mailing address
1509 CATALPA AVE, WAUKEGAN, IL 60085-5328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150113949
IL
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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