| The Josselyn Center - Deerfield | |
|
130 N Waukegan Rd Deerfield IL 60015-5218 | |
| (847) 940-8400 | |
| (847) 441-7968 |
| Full Name | The Josselyn Center - Deerfield |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 130 N Waukegan Rd, Deerfield, Illinois |
| Authorized Official Name and Position | Kelly M Schuler (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8474415600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Josselyn Center - Deerfield 405 Central Ave Northfield IL 60093-3006 Ph: (847) 441-5600 | The Josselyn Center - Deerfield 130 N Waukegan Rd Deerfield IL 60015-5218 Ph: (847) 940-8400 |
| NPI Number | 1780016949 |
|---|---|
| Provider Enumeration Date | 07/30/2013 |
| Last Update Date | 07/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780016949 | NPI | - | NPPES |
| 036054322 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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