| Karen Woodnorth, P.c. | |
|
1580 S Milwaukee Ave Suite 407 Libertyville IL 60048-3764 | |
| (312) 339-9493 | |
| (847) 214-1385 |
| Full Name | Karen Woodnorth, P.c. |
|---|---|
| Speciality | Counselor |
| Location | 1580 S Milwaukee Ave, Libertyville, Illinois |
| Authorized Official Name and Position | Karen Woodnorth (PRESIDENT) |
| Authorized Official Contact | 3123399493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Woodnorth, P.c. 1565 N Saint Marks Pl Palatine IL 60067-8690 Ph: (312) 339-9493 | Karen Woodnorth, P.c. 1580 S Milwaukee Ave Suite 407 Libertyville IL 60048-3764 Ph: (312) 339-9493 |
| NPI Number | 1124565809 |
|---|---|
| Provider Enumeration Date | 01/19/2017 |
| Last Update Date | 01/19/2017 |
| Medicare PECOS PAC ID | 0840638854 |
|---|---|
| Medicare Enrollment ID | O20240409003622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124565809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180006387 (Illinois) | Primary |
| Provider Name | Karen Joy Woodnorth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780869362 PECOS PAC ID: 1759729767 Enrollment ID: I20240409003829 |
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