| Sharon Boris, Lcsw Llc | |
|
4326 Prince St Suite 4 Downers Grove IL 60515-2875 | |
| (708) 217-2726 | |
| Not Available |
| Full Name | Sharon Boris, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4326 Prince St, Downers Grove, Illinois |
| Authorized Official Name and Position | Sharon Boris (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7082172726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon Boris, Lcsw Llc 4326 Prince St Suite 4 Downers Grove IL 60515-2875 Ph: (708) 217-2726 | Sharon Boris, Lcsw Llc 4326 Prince St Suite 4 Downers Grove IL 60515-2875 Ph: (708) 217-2726 |
| NPI Number | 1821240136 |
|---|---|
| Provider Enumeration Date | 10/17/2008 |
| Last Update Date | 10/17/2008 |
| Medicare PECOS PAC ID | 5496814055 |
|---|---|
| Medicare Enrollment ID | O20081111000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821240136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149-007417 (Illinois) | Primary |
| Provider Name | Sharon M Boris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134303134 PECOS PAC ID: 6305905951 Enrollment ID: I20081111000628 |
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