Healthcare Provider Details

I. General information

NPI: 1598683823
Provider Name (Legal Business Name): YORAN STCLAIR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4760 SAINT JOSEPH CREEK RD APT 212
LISLE IL
60532-1824
US

IV. Provider business mailing address

4760 SAINT JOSEPH CREEK RD APT 212
LISLE IL
60532-1824
US

V. Phone/Fax

Practice location:
  • Phone: 708-704-5578
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149031660
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: