Provider Demographics
NPI:1497279343
Name:RAMIREZ, EVA IRENE (MSW)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:IRENE
Last Name:RAMIREZ
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 1:3054 W EASTWOOD AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-3730
Mailing Address - Country:US
Mailing Address - Phone:727-641-0996
Mailing Address - Fax:
Practice Address - Street 1:216 W JACKSON BLVD STE 741
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-6909
Practice Address - Country:US
Practice Address - Phone:312-673-3204
Practice Address - Fax:312-855-3750
Is Sole Proprietor?:No
Enumeration Date:2017-08-02
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker