Organization
AFG GUIDANCE CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFREDA FALKOWSKA-GROSRENAUD MD (CEO)
(847) 733-1461
Entity
Organization
Contact information
Practice address
820 SHERIDAN RD, EVANSTON, IL 60202-2513
(847) 733-1461
(847) 733-1470
Mailing address
820 SHERIDAN RD, EVANSTON, IL 60202-2513
(847) 733-1461
(847) 733-1470
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036092952
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092952
—
IL
Enumeration date
09/22/2008
Last updated
09/22/2008
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