| North Shore Senior Center | |
|
161 Northfield Rd Northfield IL 60093-3309 | |
| (847) 784-6000 | |
| Not Available |
| Full Name | North Shore Senior Center |
|---|---|
| Speciality | Case Manager/Care Coordinator |
| Location | 161 Northfield Rd, Northfield, Illinois |
| Authorized Official Name and Position | Jordan Luhr (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8477846027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Senior Center 161 Northfield Rd Northfield IL 60093-3309 Ph: (847) 784-6000 | North Shore Senior Center 161 Northfield Rd Northfield IL 60093-3309 Ph: (847) 784-6000 |
| NPI Number | 1912259425 |
|---|---|
| Provider Enumeration Date | 10/08/2012 |
| Last Update Date | 08/28/2015 |
| Medicare PECOS PAC ID | 3072814516 |
|---|---|
| Medicare Enrollment ID | O20151229000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912259425 | NPI | - | NPPES |
| Provider Name | Carrie A Cutler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447475736 PECOS PAC ID: 8123178449 Enrollment ID: I20090609000060 |
| Provider Name | Terri Mchugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801335906 PECOS PAC ID: 6002190725 Enrollment ID: I20170224000848 |
| Provider Name | Sarah R Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124409891 PECOS PAC ID: 2769736099 Enrollment ID: I20181126001661 |
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