Karen Greenberg Limited | |
708 Church St Ste 247 Evanston IL 60201-3840 | |
(312) 278-3416 | |
Not Available |
Full Name | Karen Greenberg Limited |
---|---|
Speciality | Social Worker |
Location | 708 Church St Ste 247, Evanston, Illinois |
Authorized Official Name and Position | Karen Greenberg (OWNER/THERAPIST) |
Authorized Official Contact | 3122783416 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Karen Greenberg Limited 800 Custer Ave Ste 5 Evanston IL 60202-2273 Ph: (312) 278-3416 | Karen Greenberg Limited 708 Church St Ste 247 Evanston IL 60201-3840 Ph: (312) 278-3416 |
NPI Number | 1104390483 |
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Provider Enumeration Date | 01/19/2019 |
Last Update Date | 05/30/2021 |
Certification Date | 05/30/2021 |
Medicare PECOS PAC ID | 7911234588 |
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Medicare Enrollment ID | O20190806002231 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104390483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Karen Greenberg |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144414210 PECOS PAC ID: 4587713169 Enrollment ID: I20090602000020 |
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