| Springtides, Inc. | |
|
2400 N Lakeview Ave #1703 Chicago IL 60614-2739 | |
| (312) 282-2610 | |
| Not Available |
| Full Name | Springtides, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 2400 N Lakeview Ave, Chicago, Illinois |
| Authorized Official Name and Position | Laura Margaret Szwalek (PRESIDENT) |
| Authorized Official Contact | 3122822610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springtides, Inc. 2400 N Lakeview Ave #1703 Chicago IL 60614-2739 Ph: (312) 282-2610 | Springtides, Inc. 2400 N Lakeview Ave #1703 Chicago IL 60614-2739 Ph: (312) 282-2610 |
| NPI Number | 1295082295 |
|---|---|
| Provider Enumeration Date | 08/08/2012 |
| Last Update Date | 08/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295082295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 180008213 (Illinois) | Primary |
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