Alice K Virgil LCSW

NPI 1003969247 - Social Worker - 1041C0700X

NPI Details
NPI 1003969247
Gender Female
Enumeration Date 01/19/2007
Last Updated 05/14/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
950 N WESTERN AVE
SUITE 1A
LAKE FOREST IL, 60045-1742, US
Phone (773) 919-9170
Fax (773) 919-9170
Business Location
12979 W SANCTUARY CT
LAKE BLUFF IL, 60044-1139, US
Phone (773) 919-9170
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149.010380
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According to our database, Alice K Virgil LCSW NPI is 1003969247, taxonomy code is 1041C0700X and license number is 149.010380, license state is located at Illinois. Alice K Virgil LCSW physically located at 950 N Western Ave, Lake Forest IL, 60045-1742. NPI Number Alice K Virgil LCSW has the Individual type.

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1003969247 NPI number is provided on an as is basis without warranty of any kind. 1003969247 is maintained by the National Plan & Provider Enumeration System. The contents of Alice K Virgil LCSW are for informational purposes only.