| Nurturing Village, Llc | |
|
7115 Virginia Rd Ste 108 Crystal Lake IL 60014-3110 | |
| (815) 893-9484 | |
| Not Available |
| Full Name | Nurturing Village, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7115 Virginia Rd Ste 108, Crystal Lake, Illinois |
| Authorized Official Name and Position | Elizabeth M Krotser (OWNER / CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6306975825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurturing Village, Llc 7115 Virginia Rd Ste 108 Crystal Lake IL 60014-3110 Ph: (815) 893-9484 | Nurturing Village, Llc 7115 Virginia Rd Ste 108 Crystal Lake IL 60014-3110 Ph: (815) 893-9484 |
| NPI Number | 1619494440 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619494440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149011590 (Illinois) | Primary |
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