North Shore Family Services | |
900 Skokie Boulevard Suite 218 Northbrook IL 60062 | |
(847) 668-4295 | |
(847) 668-4295 |
Full Name | North Shore Family Services |
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Speciality | Social Worker - Clinical |
Location | 900 Skokie Boulevard, Northbrook, Illinois |
Authorized Official Name and Position | Suzanne Wahl (PRACTICE MANAGER) |
Authorized Official Contact | 8476684295 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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North Shore Family Services 900 Skokie Boulevard Suite 218 Northbrook IL 60062 Ph: (847) 668-4295 | North Shore Family Services 900 Skokie Boulevard Suite 218 Northbrook IL 60062 Ph: (847) 668-4295 |
NPI Number | 1497194070 |
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Provider Enumeration Date | 06/18/2013 |
Last Update Date | 12/21/2022 |
Certification Date | 12/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497194070 | NPI | - | NPPES |
1861799355 | Other | IL | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149009042 (Illinois) | Primary |
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