M Lichterman Pllc | |
1740 Ridge Ave Ste 212 Evanston IL 60201-5909 | |
(847) 840-8126 | |
Not Available |
Full Name | M Lichterman Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 1740 Ridge Ave Ste 212, Evanston, Illinois |
Authorized Official Name and Position | Marcy Lichterman (OWNER) |
Authorized Official Contact | 8478408126 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
M Lichterman Pllc 1740 Ridge Ave Ste 212 Evanston IL 60201-5909 Ph: (847) 840-8126 | M Lichterman Pllc 1740 Ridge Ave Ste 212 Evanston IL 60201-5909 Ph: (847) 840-8126 |
NPI Number | 1851089262 |
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Provider Enumeration Date | 04/25/2023 |
Last Update Date | 04/25/2023 |
Certification Date | 04/25/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851089262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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