Samuel Israel Villasenor
Samuel Israel Villasenor is a Clinical Social Worker in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
1525 E 53rd StChicago, IL 60615-4557
Phone: (773) 999-9581
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149.023463 (IL) |
|---|
Record details
| NPI number | 1215688635 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 18, 2022 |
| Last updated in NPPES | August 1, 2024 |
| Certification date | August 1, 2024 |
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