Irma Ilustre, MSW, LICSW

NPI 1649329921 · on the registry since 2007

Practice

Address: 170 Main St
Unit G-02
Tewksbury, MA 01876
Phone: (617) 969-7600
Fax: (617) 969-7646
Organisation at this address: Advent Homecare Llc
Merrimack Family Medicine Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-03-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts