Individual
COREY SHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
2400 N ASHLAND AVE # 174, CHICAGO, IL 60614-2021
(773) 270-5600
Mailing address
369 W GRAND AVE APT 3501, CHICAGO, IL 60654-4558
(651) 508-2365
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.105528
IL
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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