Individual
RACHEL H MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 PARK AVE, CLARENDON HILLS, IL 60514-0400
(630) 228-6028
Mailing address
PO BOX 250, CLARENDON HILLS, IL 60514-0250
(630) 228-6028
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150010114
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
IL
Enumeration date
11/03/2020
Last updated
11/03/2020
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