Search › Illinois › 1041C0700X
Gerardo Tavera, LMSW
NPI 1912721804 · on the registry since 2024 · sole proprietor
Practice
- Address
- 914 Elizabeth St
Joliet, IL 60435 - Phone
- (815) 570-5312
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-08
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