| Servant Of Peace Llc | |
|
9730 S Western Ave Ste 306 Evergreen Pk IL 60805-2766 | |
| (773) 332-6664 | |
| Not Available |
| Full Name | Servant Of Peace Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9730 S Western Ave Ste 306, Evergreen Pk, Illinois |
| Authorized Official Name and Position | Aidarina Basarudin-pigott (OWNER) |
| Authorized Official Contact | 7733326664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Servant Of Peace Llc 14012 S Green Bay Ave Burnham IL 60633-1616 Ph: (773) 332-6664 | Servant Of Peace Llc 9730 S Western Ave Ste 306 Evergreen Pk IL 60805-2766 Ph: (773) 332-6664 |
| NPI Number | 1104702133 |
|---|---|
| Provider Enumeration Date | 08/14/2025 |
| Last Update Date | 08/14/2025 |
| Certification Date | 08/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104702133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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