person
Lillian Longoria
Mental Health Counselor in Chicago, Illinois
NPI 1730636283

Lillian Longoria is a Mental Health Counselor based in Chicago, IL and is specialized in Mental Health. Lillian Longoria practices in Chicago, IL. The NPI Number for Lillian Longoria is 1730636283 and holds a License No. 121626-11 (Illinois).

The current practice location address for Lillian Longoria is 10046 S Western Ave, Chicago, IL and can be reached out via phone at 773-429-0300 and via fax at 773-429-0200.

Location: 10046 S Western Ave, Chicago, IL, 60643-1926
person
Provider Profile Details
NPI Number
1730636283
Provider Name
Lillian Longoria
Credential
Provider Entity Type
Individual
Gender
Female
Address
10046 S Western Ave, Chicago, IL, 60643-1926
Phone Number
773-429-0300
Fax Number
773-429-0200
Provider Enumeration Date
09/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1356385199 01 IL NATIONAL PROVIDER IDENTIFIER
institution
Provider Business Practice Location Address Details
Address
10046 S Western Ave
City
State
Zip
60643-1926
Phone Number
773-429-0300
Fax Number
773-429-0200
person
Provider Business Mailing Address Details
Address
10046 S Western Ave
City
State
Zip
60643-1926
Phone Number
773-429-0300
Fax Number
773-429-0200
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
121626-11 (Illinois)
Definition
Definition to come...
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