Healthcare Provider Details

I. General information

NPI: 1679286348
Provider Name (Legal Business Name): AIMEE ESQUIVEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2022
Last Update Date: 12/27/2022
Certification Date: 12/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2295 VALLEY CREEK DR
ELGIN IL
60123-2694
US

IV. Provider business mailing address

104 W HAMILTON DR
PALATINE IL
60067-3484
US

V. Phone/Fax

Practice location:
  • Phone: 630-566-4673
  • Fax:
Mailing address:
  • Phone: 847-560-0329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: