| Katie Larcher, Inc. | |
|
1701 E Lake Ave Ste 245 Glenview IL 60025-2065 | |
| (773) 234-5366 | |
| Not Available |
| Full Name | Katie Larcher, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1701 E Lake Ave Ste 245, Glenview, Illinois |
| Authorized Official Name and Position | Lori Kathleen Wodziak (OWNER) |
| Authorized Official Contact | 8475329633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Larcher, Inc. 1701 E Lake Ave Ste 245 Glenview IL 60025-2065 Ph: (847) 532-9633 | Katie Larcher, Inc. 1701 E Lake Ave Ste 245 Glenview IL 60025-2065 Ph: (773) 234-5366 |
| NPI Number | 1689437626 |
|---|---|
| Provider Enumeration Date | 02/01/2024 |
| Last Update Date | 08/03/2024 |
| Certification Date | 08/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689437626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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