SAMUEL ISRAEL VILLASENOR

CHICAGO, IL
NPI1215688635
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.023463)
Enumeration Date2022-01-18
Last Update Date2022-01-18
Business Address
SAMUEL ISRAEL VILLASENOR
1525 E 53RD ST
CHICAGO, IL 60615-4557
Phone number: 773-999-9581
Mailing Address
SAMUEL ISRAEL VILLASENOR
2509 S 2ND AVE
NORTH RIVERSIDE, IL 60546-1312
Phone number: 630-740-0549
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