| Sithub | |
|
3523 N Lincoln Ave Chicago IL 60657-1137 | |
| (331) 442-4449 | |
| Not Available |
| Full Name | Sithub |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3523 N Lincoln Ave, Chicago, Illinois |
| Authorized Official Name and Position | Ingrid V Ladden (STAFF) |
| Authorized Official Contact | 3314424449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sithub 1513 W Bryn Mawr Ave 3c Chicago IL 60660-4274 Ph: (215) 740-0688 | Sithub 3523 N Lincoln Ave Chicago IL 60657-1137 Ph: (331) 442-4449 |
| NPI Number | 1033569470 |
|---|---|
| Provider Enumeration Date | 06/16/2016 |
| Last Update Date | 06/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033569470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1922406412 (Illinois) | Primary |
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