Jamie Edwards Lcsw, Pc | |
1701 E Lake Ave Ste 255 Glenview IL 60025-2037 | |
(847) 881-6870 | |
Not Available |
Full Name | Jamie Edwards Lcsw, Pc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1701 E Lake Ave Ste 255, Glenview, Illinois |
Authorized Official Name and Position | Jamie Edwards (OWNER) |
Authorized Official Contact | 2246270534 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jamie Edwards Lcsw, Pc 9359 Osceola Ave Morton Grove IL 60053-1127 Ph: (224) 627-0534 | Jamie Edwards Lcsw, Pc 1701 E Lake Ave Ste 255 Glenview IL 60025-2037 Ph: (847) 881-6870 |
NPI Number | 1821563263 |
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Provider Enumeration Date | 10/12/2018 |
Last Update Date | 07/30/2023 |
Certification Date | 07/30/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821563263 | NPI | - | NPPES |
1295159283 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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