Individual
IANKA PENA GERALDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3758
(847) 748-0341
(847) 367-5997
Mailing address
1113 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3758
(847) 748-0341
(847) 367-5997
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208001056
IL
Other
Enumeration date
01/03/2022
Last updated
04/23/2025
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