| Rae Rich, Lcsw, Pc | |
|
1509 W Berwyn Ave Suite 209 Chicago IL 60640-8056 | |
| (847) 687-3085 | |
| Not Available |
| Full Name | Rae Rich, Lcsw, Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1509 W Berwyn Ave, Chicago, Illinois |
| Authorized Official Name and Position | Rae Rich (PRESIDENT) |
| Authorized Official Contact | 8476873085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rae Rich, Lcsw, Pc 1509 W Berwyn Ave Suite 209 Chicago IL 60640-8056 Ph: (847) 687-3085 | Rae Rich, Lcsw, Pc 1509 W Berwyn Ave Suite 209 Chicago IL 60640-8056 Ph: (847) 687-3085 |
| NPI Number | 1124154661 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 04/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124154661 | NPI | - | NPPES |
| 1623160 | Other | IL | BLUE CROSS BLUE SHIELD |
| 1982641627 | Other | IL | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149002472 (Illinois) | Primary |
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