Individual
ALAA BOUABDALLAOUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 W LAKE AVE, GLENVIEW, IL 60026-1210
(847) 724-2620
(847) 724-3499
Mailing address
3080 W LAKE AVE, GLENVIEW, IL 60026-1210
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150109030
IL
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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