Demetra Me'quan Tillar-coachman L.C.S.W.

NPI 1699913640 - Social Worker - 104100000X

NPI Details
NPI 1699913640
Gender Female
Enumeration Date 01/29/2009
Last Updated 11/17/2011
Entity Type Individual
Active Over 7 years ago
Practice Location
10540 S WESTERN AVE
CHICAGO IL, 60643-2536, US
Phone (773) 296-4335
Fax (773) 296-1430
Business Location
10540 S WESTERN AVE
CHICAGO IL, 60643-2536, US
Phone (773) 296-4335
Fax (773) 296-1430
Toxanomy
Taxonomy Code 104100000X
License State Illinois
License Number 150.011847
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According to our database, Demetra Me'quan Tillar-coachman L.C.S.W. NPI is 1699913640, taxonomy code is 104100000X and license number is 150.011847, license state is located at Illinois. Demetra Me'quan Tillar-coachman L.C.S.W. physically located at 10540 S Western Ave, Chicago IL, 60643-2536. NPI Number Demetra Me'quan Tillar-coachman L.C.S.W. has the Individual type.

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1699913640 NPI number is provided on an as is basis without warranty of any kind. 1699913640 is maintained by the National Plan & Provider Enumeration System. The contents of Demetra Me'quan Tillar-coachman L.C.S.W. are for informational purposes only.