Individual
KATHRYN MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 CENTRAL AVE, NORTHFIELD, IL 60093-3006
(847) 441-5600
Mailing address
3035 MARION AVE, MELROSE PARK, IL 60164-1004
(773) 936-0054
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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