Provider Demographics
NPI:1255718557
Name:MORALES, TERESA LILIANA
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:LILIANA
Last Name:MORALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 N MADISON ST
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:IL
Mailing Address - Zip Code:60098-2836
Mailing Address - Country:US
Mailing Address - Phone:815-404-6465
Mailing Address - Fax:
Practice Address - Street 1:1009 N MADISON ST
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:IL
Practice Address - Zip Code:60098-2386
Practice Address - Country:US
Practice Address - Phone:815-404-6465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker