| John Bozeday Lcsw Ltd | |
|
708 Church St Ste 258 Evanston IL 60201-3840 | |
| (847) 251-0346 | |
| Not Available |
| Full Name | John Bozeday Lcsw Ltd |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 708 Church St Ste 258, Evanston, Illinois |
| Authorized Official Name and Position | John Bozeday (PRESIDENT) |
| Authorized Official Contact | 8472510346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Bozeday Lcsw Ltd 235 Ridge Rd Apt 4c Wilmette IL 60091-3252 Ph: (847) 251-0346 | John Bozeday Lcsw Ltd 708 Church St Ste 258 Evanston IL 60201-3840 Ph: (847) 251-0346 |
| NPI Number | 1689189078 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 12/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689189078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149003005 (Illinois) | Primary |
| 251S00000X | Community/behavioral Health | 149003005 (Illinois) | Secondary |
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