Provider Demographics
NPI:1629382965
Name:INIGUEZ, CINDY (MA)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:INIGUEZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2329 N LAWNDALE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-2309
Mailing Address - Country:US
Mailing Address - Phone:312-399-1319
Mailing Address - Fax:
Practice Address - Street 1:2329 N LAWNDALE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-2309
Practice Address - Country:US
Practice Address - Phone:312-399-1319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.007997101YP2500X
171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171R00000XOther Service ProvidersInterpreter