Desiree Monic Medina

NPI #1487455911 in Savoy, Illinois

Provider Information

NPI Number: 1487455911
Entity Type: Individual
Name: Desiree Monic Medina
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Mar 21, 2025
Last Updated: Mar 21, 2025

Practice Location

Address: 1801 WOODFIELD DR STE 102
City: Savoy
State: Illinois
ZIP Code: 61874-9505
Phone: (815) 383-2164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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