Rachel Surprenant Lcw Pllc | |
2500 W Bradley Pl Ste 400 Chicago IL 60618-4716 | |
(224) 532-9745 | |
Not Available |
Full Name | Rachel Surprenant Lcw Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 2500 W Bradley Pl Ste 400, Chicago, Illinois |
Authorized Official Name and Position | Rachel Surprenant (OWNER) |
Authorized Official Contact | 2245329745 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rachel Surprenant Lcw Pllc 1923 W Schiller St Apt 3f Chicago IL 60622-1982 Ph: (224) 532-9745 | Rachel Surprenant Lcw Pllc 2500 W Bradley Pl Ste 400 Chicago IL 60618-4716 Ph: (224) 532-9745 |
NPI Number | 1265298632 |
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Provider Enumeration Date | 02/23/2024 |
Last Update Date | 02/23/2024 |
Certification Date | 02/23/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265298632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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