Individual
MRS. DEE A FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
700 W JEFFERSON ST, SHOREWOOD, IL 60404-7608
(815) 741-2888
(815) 741-2860
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(815) 741-2888
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015099
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150012642
STATE OF ILLINOIS LICENSE
IL
Enumeration date
08/24/2010
Last updated
10/01/2015
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