Most Relevant Information
Provider Data
| NPI Number: | 1003466129 |
| Provider Name: | AILEEN B KOKASKA LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/19/2019 |
| Last Updated: | 09/19/2019 |
Provider Practice Location
100 SANTA FE LN
WILLOW SPRINGS
IL
604801199
Practice Location Phone/Fax
| Phone: | 7085716745 |
| Fax: |
Provider Mailing Location
100 SANTA FE LN
WILLOW SPRINGS
IL
604801199
Provider Mailing Phone/Fax
| Phone: | 7085716745 |
| Fax: |