Individual
NALLELY MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10035 GRAND AVE, FRANKLIN PARK, IL 60131-2500
(847) 260-8860
Mailing address
10035 GRAND AVE, FRANKLIN PARK, IL 60131-2500
(847) 260-8860
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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