Carol O. Weinberg Lcsw Inc. | |
426 Park Ave Ste 5 Highland Park IL 60035-2627 | |
(847) 433-8407 | |
(847) 926-8180 |
Full Name | Carol O. Weinberg Lcsw Inc. |
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Speciality | Social Worker |
Location | 426 Park Ave Ste 5, Highland Park, Illinois |
Authorized Official Name and Position | Carol O Weinberg (PRESIDENT) |
Authorized Official Contact | 8474338407 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carol O. Weinberg Lcsw Inc. 426 Park Ave Ste 5 Highland Park IL 60035-2627 Ph: (847) 433-8407 | Carol O. Weinberg Lcsw Inc. 426 Park Ave Ste 5 Highland Park IL 60035-2627 Ph: (847) 433-8407 |
NPI Number | 1760668040 |
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Provider Enumeration Date | 01/16/2008 |
Last Update Date | 01/16/2008 |
Medicare PECOS PAC ID | 6002112661 |
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Medicare Enrollment ID | O20160308000506 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760668040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
Provider Name | Carol O Weinberg |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861566275 PECOS PAC ID: 3678461449 Enrollment ID: I20040304001215 |
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