Provider Demographics
NPI:1285419556
Name:ALVAREZ, JULIETA ALMA (MSW)
Entity type:Individual
Prefix:
First Name:JULIETA
Middle Name:ALMA
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:JULIETA
Other - Middle Name:
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:1633 FRAZIER ST
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60087-2926
Mailing Address - Country:US
Mailing Address - Phone:224-717-0123
Mailing Address - Fax:
Practice Address - Street 1:3838 W 111TH ST STE 107
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60655-4028
Practice Address - Country:US
Practice Address - Phone:708-942-1937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker