Lifeskills Center, Ltd

NPI 1063623940 - Social Worker - 1041C0700X

NPI Details
NPI 1063623940
Enumeration Date 05/24/2007
Last Updated 05/22/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUSAN A SUSAN
Position OWNER
Phone (224) 577-5022
Fax (847) 395-9551
Practice Location
800 N MAIN ST
LOWER LEVEL
ANTIOCH IL, 60002-1323, US
Phone (224) 577-5022
Fax (847) 395-9551
Business Location
800 N MAIN ST
LOWER LEVEL
ANTIOCH IL, 60002-1323, US
Phone (224) 577-5022
Fax (847) 395-9551
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149011526
Remove 1063623940 NPI Number
 

According to our database, Lifeskills Center, Ltd NPI is 1063623940, taxonomy code is 1041C0700X and license number is 149011526, license state is located at Illinois. Lifeskills Center, Ltd physically located at 800 N Main St, Antioch IL, 60002-1323. NPI Number 1033115704 has the healthcare provider type.

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1063623940 NPI number is provided on an as is basis without warranty of any kind. 1063623940 is maintained by the National Plan & Provider Enumeration System. The contents of Lifeskills Center, Ltd are for informational purposes only.