Individual
EEVON SWILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
25480 W CEDAR CREST LN, LAKE VILLA, IL 60046-8256
(847) 356-8205
Mailing address
55 E JACKSON BLVD STE 1500, CHICAGO, IL 60604-4137
(312) 663-1130
(312) 663-0504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
150103770
IL
104100000X
Social Worker
Primary
149022661
IL
104100000X
Social Worker
150103770
IL
Other
Enumeration date
07/22/2019
Last updated
01/10/2023
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