Lori Aitken, Lcpc | |
1818 Dempster St Evanston IL 60202-1003 | |
(847) 527-7421 | |
Not Available |
Full Name | Lori Aitken, Lcpc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 1818 Dempster St, Evanston, Illinois |
Authorized Official Name and Position | Lori Aitken (OWNER) |
Authorized Official Contact | 8472177836 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lori Aitken, Lcpc 621 Hinman Ave Evanston IL 60202-3026 Ph: (847) 217-7836 | Lori Aitken, Lcpc 1818 Dempster St Evanston IL 60202-1003 Ph: (847) 527-7421 |
NPI Number | 1538459268 |
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Provider Enumeration Date | 04/14/2011 |
Last Update Date | 04/14/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538459268 | NPI | - | NPPES |
1617886 | Other | IL | BLUE CROSS BLUE SHIELD |
11753041 | Other | IL | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 180002521 (Illinois) | Primary |
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