Search › Illinois › 1041C0700X
Andrea Blaylock, LCSW
NPI 1801149513 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4611 N Beacon St
#1s
Chicago, IL 60640 - Phone
- (312) 882-4817
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-10-18
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 Illinois