| Illinois Professionals Health Program | |
|
701 Lee St Suite 100 Des Plaines IL 60016-4539 | |
| (847) 795-2842 | |
| (847) 795-2847 |
| Full Name | Illinois Professionals Health Program |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 701 Lee St, Des Plaines, Illinois |
| Authorized Official Name and Position | Carole Eileen Hoffman (SENIOR CASE MANAGER) |
| Authorized Official Contact | 8477952842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Professionals Health Program 701 Lee St Suite 100 Des Plaines IL 60016-4539 Ph: (847) 795-2842 | Illinois Professionals Health Program 701 Lee St Suite 100 Des Plaines IL 60016-4539 Ph: (847) 795-2842 |
| NPI Number | 1356449383 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356449383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1916 (Illinois) | Primary |
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
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