Provider Demographics
NPI:1437415528
Name:ARTINO, MICHELLE JO (MSW)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:JO
Last Name:ARTINO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9421 BROCKTON LANE
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-4579
Mailing Address - Country:US
Mailing Address - Phone:847-840-6391
Mailing Address - Fax:
Practice Address - Street 1:103 OGDEN AVENUE,
Practice Address - Street 2:SUITE 102
Practice Address - City:CLARENDON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60514-9998
Practice Address - Country:US
Practice Address - Phone:773-318-8890
Practice Address - Fax:630-908-7782
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker