| Soulwork, Pllc | |
|
118 E 45th St Apt 1 Chicago IL 60653-5163 | |
| (773) 451-0100 | |
| Not Available |
| Full Name | Soulwork, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 118 E 45th St Apt 1, Chicago, Illinois |
| Authorized Official Name and Position | Lasonda A. Wilkins (CHIEF EXECUTIVE CLINICAL DIRECTOR) |
| Authorized Official Contact | 7734510100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulwork, Pllc 118 E 45th St Apt 1 Chicago IL 60653-5163 Ph: (773) 451-0100 | Soulwork, Pllc 118 E 45th St Apt 1 Chicago IL 60653-5163 Ph: (773) 451-0100 |
| NPI Number | 1841978640 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841978640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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