Fernanda Maytorena-unger | |
6925 Cermak Rd Berwyn IL 60402-2248 | |
(708) 567-7342 | |
(949) 437-2647 |
Full Name | Fernanda Maytorena-unger |
---|---|
Speciality | Social Worker - Clinical |
Location | 6925 Cermak Rd, Berwyn, Illinois |
Authorized Official Name and Position | Maylin Alunan (ADMINISTRATOR) |
Authorized Official Contact | 6302800607 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fernanda Maytorena-unger 3547 Ridgeland Ave Berwyn IL 60402-3848 Ph: (708) 567-7342 | Fernanda Maytorena-unger 6925 Cermak Rd Berwyn IL 60402-2248 Ph: (708) 567-7342 |
NPI Number | 1922690312 |
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Provider Enumeration Date | 02/07/2021 |
Last Update Date | 02/10/2021 |
Certification Date | 02/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922690312 | NPI | - | NPPES |
149022511 | Other | IL | LCSW LICENSE |
1518556778 | Other | IL | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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