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1559 Darrow Ave Evanston IL 60201-4075 | |
| (847) 424-9072 | |
| (847) 424-9042 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1559 Darrow Ave, Evanston, Illinois |
| Authorized Official Name and Position | William Stuart Kaplan (PRESIDENT & CLINICAL DIRECTOR) |
| Authorized Official Contact | 8474249072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1394 Evanston IL 60204-1394 Ph: (847) 424-9072 | 1559 Darrow Ave Evanston IL 60201-4075 Ph: (847) 424-9072 |
| NPI Number | 1245385780 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245385780 | NPI | - | NPPES |
| 01634233 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
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