| Shale Marks Llc | |
|
355 W Dundee Rd Ste 110 Buffalo Grove IL 60089-3500 | |
| (847) 337-1960 | |
| Not Available |
| Full Name | Shale Marks Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 355 W Dundee Rd Ste 110, Buffalo Grove, Illinois |
| Authorized Official Name and Position | Ewa Rozek (MANAGER) |
| Authorized Official Contact | 8473371960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shale Marks Llc 355 W Dundee Rd Ste 110 Buffalo Grove IL 60089-3500 Ph: (847) 337-1960 | Shale Marks Llc 355 W Dundee Rd Ste 110 Buffalo Grove IL 60089-3500 Ph: (847) 337-1960 |
| NPI Number | 1710730908 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710730908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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