Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 149.012665 | IL |
NPI | 1003003658 |
---|---|
Provider Name | Reem Kurdi Cutinello |
First Address | Lemont, IL 60439-6494 |
Second Address | Lemont, IL 60439-6494 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2007 |
Last Update Date | 14/08/2014 |