| Wendy B. Dolin, Lcsw, Llc | |
|
2530 Crawford Ave Suite 219 Evanston IL 60201-4970 | |
| (847) 910-2346 | |
| Not Available |
| Full Name | Wendy B. Dolin, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2530 Crawford Ave, Evanston, Illinois |
| Authorized Official Name and Position | Wendy B. Dolin (MANAGER) |
| Authorized Official Contact | 8479102346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy B. Dolin, Lcsw, Llc 2530 Crawford Ave Suite 219 Evanston IL 60201-4970 Ph: () - | Wendy B. Dolin, Lcsw, Llc 2530 Crawford Ave Suite 219 Evanston IL 60201-4970 Ph: (847) 910-2346 |
| NPI Number | 1144665118 |
|---|---|
| Provider Enumeration Date | 05/06/2013 |
| Last Update Date | 12/16/2013 |
| Medicare PECOS PAC ID | 2264669977 |
|---|---|
| Medicare Enrollment ID | O20131227001560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144665118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.012817 (Illinois) | Primary |
| Provider Name | Wendy B Dolin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730198276 PECOS PAC ID: 2769550599 Enrollment ID: I20081007000592 |
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