| Lisa Belgrad Lcsw Pllc | |
|
630 Vernon Ave Glencoe IL 60022-1681 | |
| (708) 638-9718 | |
| Not Available |
| Full Name | Lisa Belgrad Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 630 Vernon Ave, Glencoe, Illinois |
| Authorized Official Name and Position | Lisa A Belgrad (OWNER OF S-CORP) |
| Authorized Official Contact | 7086389718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Belgrad Lcsw Pllc 811 Chicago Ave Apt 204 Evanston IL 60202-2392 Ph: (708) 638-9718 | Lisa Belgrad Lcsw Pllc 630 Vernon Ave Glencoe IL 60022-1681 Ph: (708) 638-9718 |
| NPI Number | 1942817259 |
|---|---|
| Provider Enumeration Date | 09/30/2020 |
| Last Update Date | 09/30/2020 |
| Certification Date | 09/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942817259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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