| Doctor Name: | MRS. IMELDA GLORIA FERREIRA |
| NPI Number: | 1003037680 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCWS |
| License Number: | |
| Business Practice Address: | 4150 W. 55th Street Chicago, IL - 60632 |
| Business Phone Number: | 3127451566 |
| Business Fax Number: | |
| Mailing Address: | 8358 S. Burley Ave, CHICAGO |
| State: | IL |
| Postal Code: | 60617 |
| Phone Number: | 7734257396 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |