| Second Story Consultants | |
|
4003 N Broadway St Chicago IL 60613-2110 | |
| (773) 528-1777 | |
| Not Available |
| Full Name | Second Story Consultants |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4003 N Broadway St, Chicago, Illinois |
| Authorized Official Name and Position | Thomas E Fransen (CFO) |
| Authorized Official Contact | 7735281777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Story Consultants 4003 N. Broadway Street Chicago IL 60613 Ph: (773) 528-1777 | Second Story Consultants 4003 N Broadway St Chicago IL 60613-2110 Ph: (773) 528-1777 |
| NPI Number | 1306170154 |
|---|---|
| Provider Enumeration Date | 09/28/2009 |
| Last Update Date | 09/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306170154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149010276 (Illinois) | Primary |
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