| Ujima Living Llc | |
|
4016 Gregory Dr Zion IL 60099-1342 | |
| (262) 308-3004 | |
| Not Available |
| Full Name | Ujima Living Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4016 Gregory Dr, Zion, Illinois |
| Authorized Official Name and Position | Krystal Roberts (OWNER & THERAPIST) |
| Authorized Official Contact | 2623835420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ujima Living Llc 4016 Gregory Dr Zion IL 60099-1342 Ph: (262) 308-3004 | Ujima Living Llc 4016 Gregory Dr Zion IL 60099-1342 Ph: (262) 308-3004 |
| NPI Number | 1093569022 |
|---|---|
| Provider Enumeration Date | 04/16/2024 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093569022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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