Organization
AFFILIATED CLINICIANS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN L FERGADIS MSW LCSW (PRESIDENT/OWNER)
(847) 438-2014
Entity
Organization
Contact information
Practice address
1217 MCHENRY RD, SUITE 238, BUFFALO GROVE, IL 60089-1379
(847) 438-2014
(847) 438-2690
Mailing address
1217 MCHENRY RD, SUITE 238, BUFFALO GROVE, IL 60089-1379
(847) 438-2014
(847) 438-2690
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
941900
MEDICARE
IL
Enumeration date
04/04/2008
Last updated
04/04/2008
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