Healthcare Provider Details

I. General information

NPI: 1073335097
Provider Name (Legal Business Name): LISBET SALINAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2024
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 E WASHINGTON ST STE 1835
CHICAGO IL
60602-1836
US

IV. Provider business mailing address

2225 NICHOLS RD APT B
ARLINGTON HEIGHTS IL
60004-1236
US

V. Phone/Fax

Practice location:
  • Phone: 312-940-3655
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.041323
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: