Organization
LISA UNGERLEIDER LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA UNGERLEIDER (LICENSED CLINICAL SOCIAL WORKER)
(847) 529-7599
Entity
Organization
Contact information
Practice address
3000 DUNDEE RD STE 101, NORTHBROOK, IL 60062-2424
(847) 400-0078
Mailing address
3000 DUNDEE RD STE 101, NORTHBROOK, IL 60062-2424
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
01/07/2020
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