Healthcare Provider Details

I. General information

NPI: 1154239309
Provider Name (Legal Business Name): GEENA SALGADO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6738 CERMAK RD
BERWYN IL
60402-2217
US

IV. Provider business mailing address

1810 S 57TH AVE
CICERO IL
60804-1754
US

V. Phone/Fax

Practice location:
  • Phone: 708-788-8808
  • Fax:
Mailing address:
  • Phone: 708-759-0957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: