Healthcare Provider Details

I. General information

NPI: 1043135247
Provider Name (Legal Business Name): LILIANA ROSE GEATI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22655 W CHESHIRE CT
DEER PARK IL
60010-7211
US

IV. Provider business mailing address

22655 W CHESHIRE CT
DEER PARK IL
60010-7211
US

V. Phone/Fax

Practice location:
  • Phone: 847-542-8494
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number149030933
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: