MEDICARE: AIMEE ESQUIVEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1679286348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE ESQUIVEL

Provider Business Mailing Address
First Line	:	104 W HAMILTON DR
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-3484
Country	:	US
Telephone Number	:	847-560-0329
Fax Number	:

Provider Business Practice Location Address
First Line	:	2295 VALLEY CREEK DR
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60123-2694
Country	:	US
Telephone Number	:	630-566-4673
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2022
Last Update Date	:	12/27/2022

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Directions to “ AIMEE ESQUIVEL ” Practice Location

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