Healthcare Provider Details

I. General information

NPI: 1699684746
Provider Name (Legal Business Name): JOSETH MAGALY UZHCA LSW-INTERN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 W BUTTERFIELD RD STE LLB
ELMHURST IL
60126-5024
US

IV. Provider business mailing address

340 W BUTTERFIELD RD STE LLB
ELMHURST IL
60126-5024
US

V. Phone/Fax

Practice location:
  • Phone: 630-474-8919
  • Fax: 630-982-4082
Mailing address:
  • Phone: 630-474-8919
  • Fax: 630-982-4082

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: