Search › Illinois › 1041C0700X
Fiona Waller, LCSW
NPI 1710552203 · on the registry since 2021
Practice
- Address
- 145 Morris Ln Unit 108
Lake Forest, IL 60045 - Phone
- (630) 596-7359
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-23
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 Illinois