Individual
BALAM MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
191 WAUKEGAN RD STE 208, NORTHFIELD, IL 60093-2743
(847) 329-9210
Mailing address
191 WAUKEGAN RD STE 208, NORTHFIELD, IL 60093-2743
(847) 329-9210
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.026326
IL
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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