Organization
CENTER FOR RECOVERY & GROWTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA HERMAN BAYNE LCSW (LICENSED CLINICAL SOCIAL WORKER)
(312) 848-5626
Entity
Organization
Contact information
Practice address
1770 W BERTEAU AVE STE 302A, CHICAGO, IL 60613-1750
(773) 850-0526
Mailing address
1628 W GREGORY ST, CHICAGO, IL 60640-1108
(312) 848-5626
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.015422
IL
Other
Enumeration date
09/17/2014
Last updated
09/16/2020
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