Search › Illinois › 1041S0200X
Lara Polavieja, LCSW
NPI 1801938253 · on the registry since 2007 · sole proprietor
Practice
- Address
- 13300 Division
Suite B7
Plainfield, IL 60585 - Phone
- (815) 577-3666
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Also registered as
- 1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois