Search › Illinois › 1041C0700X
Juan Medina, LCSW
NPI 1871160192 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1129 Schneider Ave
Oak Park, IL 60302 - Phone
- (312) 330-7869
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-06
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