Individual provider · NPI-1

Orly Avidor, LCSW

Social Worker, Clinical · Waukegan, IL

NPI number1043295140
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1043295140
Entity type
Individual (NPI-1)
Name
Orly Avidor
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Dec 12, 2005
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical149010535ILYes

Practice location

2400 Belvidere Rd
Waukegan, IL 60085-6165

Phone 847-377-8440

Mailing address

2400 Belvidere Rd
Waukegan, IL 60085-6165

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