Individual
LUIS VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 W CALENDAR AVE, LA GRANGE, IL 60525-2373
(708) 745-5277
Mailing address
5220 EAST AVE, COUNTRYSIDE, IL 60525-3133
(708) 745-5277
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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