Healthcare Provider Details

I. General information

NPI: 1124941489
Provider Name (Legal Business Name): MARGARITA NUNEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 HARLEM AVE
RIVERSIDE IL
60546-2012
US

IV. Provider business mailing address

414 PLAZA DR STE 301
WESTMONT IL
60559-5508
US

V. Phone/Fax

Practice location:
  • Phone: 630-728-1744
  • Fax:
Mailing address:
  • Phone: 630-728-1744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: