Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NORTH SHORE RESILIENT FAMILY LLC
Active
Organization
NORTH SHORE RESILIENT FAMILY LLC
Active
Other names
North Shore Resilient Family
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ALEXANDRA 'ALEX DOTY LCSW (OWNER/ CLINICIAN)
(847) 461-9731
Entity
Organization
Contact information
Practice address
636 CHURCH ST STE 416, EVANSTON, IL 60201-4580
(847) 461-9731
Mailing address
2636 PRAIRIE AVE APT A, EVANSTON, IL 60201-5743
(847) 461-9731
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-009018
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
N/A
—
Enumeration date
03/23/2017
Last updated
09/21/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up