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1215688635
SAMUEL ISRAEL VILLASENOR
CHICAGO, IL
NPI
1215688635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.023463)
Enumeration Date
2022-01-18
Last Update Date
2024-08-01
Business Address
SAMUEL ISRAEL VILLASENOR
1525 E 53RD ST
CHICAGO, IL 60615-4557
Phone number: 773-999-9581
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Mailing Address
SAMUEL ISRAEL VILLASENOR
2509 S 2ND AVE
NORTH RIVERSIDE, IL 60546-1312
Phone number: 630-740-0549
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