Individual
JUANA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2101 FOX DR STE 102, CHAMPAIGN, IL 61820-8195
(217) 766-0258
Mailing address
2101 FOX DR STE 102, CHAMPAIGN, IL 61820-8195
(217) 766-0258
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150111363
IL
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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