Individual
EILEEN J DORDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1300 W BELMONT AVE, SUITE 407, CHICAGO, IL 60657-3200
(773) 531-8666
Mailing address
1300 W BELMONT AVE, SUITE 407, CHICAGO, IL 60657-3200
(773) 531-8666
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633671
BLUE SHIELD PROVIDER NUMB
IL
Enumeration date
08/12/2006
Last updated
07/08/2007
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