| Ydt Llc | |
|
3924 W Devon Ave Lincolnwood IL 60712-1040 | |
| (201) 970-2976 | |
| Not Available |
| Full Name | Ydt Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3924 W Devon Ave, Lincolnwood, Illinois |
| Authorized Official Name and Position | Jacob Danishefsky (MANAGER) |
| Authorized Official Contact | 2019702976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ydt Llc 3010 W Sherwin Ave Chicago IL 60645-1134 Ph: (201) 970-2976 | Ydt Llc 3924 W Devon Ave Lincolnwood IL 60712-1040 Ph: (201) 970-2976 |
| NPI Number | 1730910068 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730910068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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