Organization
SMEBAKKEN, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESSI SMEBAKKEN L.C.S.W., .CA.D.C. (PRESIDENT)
(847) 870-0771
Entity
Organization
Contact information
Practice address
125 S WILKE RD STE 200A, ARLINGTON HEIGHTS, IL 60005-1522
(847) 870-0771
Mailing address
125 S WILKE RD STE 200A, ARLINGTON HEIGHTS, IL 60005-1522
(847) 870-0771
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609875616
NPI
IL
Enumeration date
07/30/2007
Last updated
07/30/2007
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