Individual
GRISELDA DE LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 S MICHIGAN AVE STE 104, CHICAGO, IL 60616-2857
(312) 203-2988
Mailing address
4111 W KAMERLING AVE, CHICAGO, IL 60651-1839
(773) 459-0417
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150112562
IL
Other
Enumeration date
12/18/2023
Last updated
01/03/2024
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