| Arden Shore Child & Family Services | |
|
2504 Washington St Suite 200 Waukegan IL 60085-4983 | |
| (847) 662-4464 | |
| (847) 662-4530 |
| Full Name | Arden Shore Child & Family Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2504 Washington St, Waukegan, Illinois |
| Authorized Official Name and Position | Dora Maya (PRESIDENT & CEO) |
| Authorized Official Contact | 8475491730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arden Shore Child & Family Services 935 Lakeview Pkwy Suite 105 Vernon Hills IL 60061-1443 Ph: (847) 549-1730 | Arden Shore Child & Family Services 2504 Washington St Suite 200 Waukegan IL 60085-4983 Ph: (847) 662-4464 |
| NPI Number | 1548251820 |
|---|---|
| Provider Enumeration Date | 11/04/2005 |
| Last Update Date | 02/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548251820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
| 1041C0700X | Social Worker - Clinical | (Illinois) | Secondary |
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