Organization
CORRI FERDMAN LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CORRI J FERDMAN LCSW (LCSW)
(847) 793-0788
Entity
Organization
Contact information
Practice address
900 NORTH SHORE DR, 200, LAKE BLUFF, IL 60044-2243
(847) 793-0788
(847) 793-0789
Mailing address
120 W EASTMAN ST, 301, ARLINGTON HEIGHTS, IL 60004-5937
(847) 793-0788
(847) 793-0789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4932415
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/17/2006
Last updated
03/04/2010
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