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2049 Ridge Ave Evanston IL 60201-2713 | |
(847) 475-5800 | |
(847) 475-5871 |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 2049 Ridge Ave, Evanston, Illinois |
Authorized Official Name and Position | Merrilee Hepler (COO) |
Authorized Official Contact | 8474755800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2049 Ridge Ave Evanston IL 60201-2713 Ph: (847) 475-5800 | 2049 Ridge Ave Evanston IL 60201-2713 Ph: (847) 475-5800 |
NPI Number | 1154766194 |
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Provider Enumeration Date | 05/03/2013 |
Last Update Date | 05/03/2013 |
Identifier | Type | State | Issuer |
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1154766194 | NPI | - | NPPES |
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