| Shared Journey Services Pc | |
|
3908 W Montrose Ave Chicago IL 60618-1019 | |
| (312) 925-6124 | |
| (773) 202-1016 |
| Full Name | Shared Journey Services Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3908 W Montrose Ave, Chicago, Illinois |
| Authorized Official Name and Position | Carolyn E Placko (PRESIDENT) |
| Authorized Official Contact | 3129256124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shared Journey Services Pc 4047 W Patterson Ave Chicago IL 60641-3042 Ph: (312) 925-6124 | Shared Journey Services Pc 3908 W Montrose Ave Chicago IL 60618-1019 Ph: (312) 925-6124 |
| NPI Number | 1104187558 |
|---|---|
| Provider Enumeration Date | 06/01/2012 |
| Last Update Date | 06/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104187558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 060.010642 (Illinois) | Primary |
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