| North Shore Family Wellness, Llc | |
|
5225 Old Orchard Rd Suite 34 Skokie IL 60077-4405 | |
| (847) 231-3729 | |
| Not Available |
| Full Name | North Shore Family Wellness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5225 Old Orchard Rd, Skokie, Illinois |
| Authorized Official Name and Position | Keith Russell Bayer (OWNER/FAMILY THERAPIST) |
| Authorized Official Contact | 8472313729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Family Wellness, Llc 5225 Old Orchard Rd Ste 46 Skokie IL 60077-1027 Ph: (847) 231-3729 | North Shore Family Wellness, Llc 5225 Old Orchard Rd Suite 34 Skokie IL 60077-4405 Ph: (847) 231-3729 |
| NPI Number | 1093066599 |
|---|---|
| Provider Enumeration Date | 09/24/2012 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093066599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149011633 (Illinois) | Primary |
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