Search › Illinois › 1041S0200X
Ava Blalark, LCSW
NPI 1831337807 · on the registry since 2009 · sole proprietor
Practice
- Address
- 18w101 Standish Ln
Villa Park, IL 60181 - Phone
- (773) 469-5499
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Also registered as
- 1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-07-25
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