NPI Registry.org

Juan C. Medina

NPI Registration Record

Provider / OrganizationNPIDate Certified
JUAN C. MEDINA18711601922021-06-06

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 TypeIndividual
Provider Name Juan C. Medina LCSW
Practice Office Address1129 SCHNEIDER AVE
OAK PARK, IL US
Practice Office Telephone3123307869
Mailing Address1129 SCHNEIDER AVE
OAK PARK, IL 603022291 US
Contact Endpoints
Direct Messaging Address [][email protected]
HPT Codes
CodePractice
License No
State
1041C0700X PRIMARYAccess 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
OPI Codes

© 2021 NPIRegistry.org | Contact | Privacy Policy | NPI Resources
45 CFR Part 162