Healthcare Provider Details

I. General information

NPI: 1841636578
Provider Name (Legal Business Name): HAINA IRISH RAMOS YUEN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HAINA IRISH RAMOS LCSW

II. Dates (important events)

Enumeration Date: 05/21/2013
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 MOON LAKE BLVD
HOFFMAN ESTATES IL
60169-1010
US

IV. Provider business mailing address

1650 MOON LAKE BLVD
HOFFMAN ESTATES IL
60169-1010
US

V. Phone/Fax

Practice location:
  • Phone: 847-755-8034
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149023153
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: