| North Shore Dance Therapy, Inc. | |
|
1516 Greenwood Ave Deerfield IL 60015-2714 | |
| (847) 848-0697 | |
| Not Available |
| Full Name | North Shore Dance Therapy, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1516 Greenwood Ave, Deerfield, Illinois |
| Authorized Official Name and Position | Erica Joy Hornthal (CEO/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8478480697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Dance Therapy, Inc. 1516 Greenwood Ave Deerfield IL 60015-2714 Ph: () - | North Shore Dance Therapy, Inc. 1516 Greenwood Ave Deerfield IL 60015-2714 Ph: (847) 848-0697 |
| NPI Number | 1205174158 |
|---|---|
| Provider Enumeration Date | 01/28/2013 |
| Last Update Date | 01/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205174158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.007870 (Illinois) | Primary |
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