Individual
AMY PENAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 E MAIN ST STE 310, SAINT CHARLES, IL 60174-2276
(630) 277-9731
Mailing address
3056 SEEKONK AVE, ELGIN, IL 60124-8937
(847) 323-4239
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.008307
IL
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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