Provider Demographics
NPI:1811578966
Name:DUAX, AIMEE ADAMS (LSW, CYT)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:ADAMS
Last Name:DUAX
Suffix:
Gender:F
Credentials:LSW, CYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 S GRACE AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-3169
Mailing Address - Country:US
Mailing Address - Phone:630-396-0298
Mailing Address - Fax:
Practice Address - Street 1:100 S YORK ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-3426
Practice Address - Country:US
Practice Address - Phone:630-384-9605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.012947104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker