| Barbara R Moline, Msw, Lcsw. Ltd. | |
|
7345 W 100th Pl Suite 105 Bridgeview IL 60455-2428 | |
| (708) 599-2603 | |
| (708) 524-8504 |
| Full Name | Barbara R Moline, Msw, Lcsw. Ltd. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7345 W 100th Pl, Bridgeview, Illinois |
| Authorized Official Name and Position | Barbara R Moline (PRESIDENT) |
| Authorized Official Contact | 7085992603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara R Moline, Msw, Lcsw. Ltd. 7345 W 100th Pl Suite 105 Bridgeview IL 60455-2428 Ph: (708) 599-2603 | Barbara R Moline, Msw, Lcsw. Ltd. 7345 W 100th Pl Suite 105 Bridgeview IL 60455-2428 Ph: (708) 599-2603 |
| NPI Number | 1912073685 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 11/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912073685 | NPI | - | NPPES |
| 01673606 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
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