School District 64 Park Ridge/niles, Il | |
1731 Pavilion Way Unit 207 #207 Park Ridge IL 60068-1190 | |
(847) 899-8284 | |
Not Available |
Full Name | School District 64 Park Ridge/niles, Il |
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Speciality | Social Worker - School |
Location | 1731 Pavilion Way Unit 207, Park Ridge, Illinois |
Authorized Official Name and Position | Victoria Mogil (PRINCIPAL OF EMERSON MIDDLE SCHOOL) |
Authorized Official Contact | 18473188110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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School District 64 Park Ridge/niles, Il 8101 N Cumberland Ave Niles IL 60714-2736 Ph: (847) 318-8713 | School District 64 Park Ridge/niles, Il 1731 Pavilion Way Unit 207 #207 Park Ridge IL 60068-1190 Ph: (847) 899-8284 |
NPI Number | 1689810046 |
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Provider Enumeration Date | 01/06/2009 |
Last Update Date | 01/06/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689810046 | NPI | - | NPPES |
150005062 | Other | IL | STATE OF ILLINOIS DEPT. OF REGISTRATION SOCIAL WORK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041S0200X | Social Worker - School | 150005062 (Illinois) | Primary |
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