Individual
ANN HERMES TUDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4201 N KILPATRICK AVE, CHICAGO, IL 60641-1625
(773) 343-3379
Mailing address
2150 W HARRISON ST, CHICAGO, IL 60612-3706
(312) 942-4450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149011283
IL
Other
Enumeration date
08/03/2013
Last updated
02/11/2014
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