| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JUAN C. MEDINA | 1871160192 | 2021-06-06 |
Juan C. Medina is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1871160192. Registration indicates Juan C. Medina is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Juan C. Medina LCSW |
| Practice Office Address | 1129 SCHNEIDER AVE OAK PARK, IL US |
| Practice Office Telephone | 3123307869 |
| Mailing Address | 1129 SCHNEIDER AVE OAK PARK, IL 603022291 US |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 149.023058
IL |