Individual
MS. ALINE M FIEDOROWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21 N SKOKIE HWY, SUITE 203, LAKE BLUFF, IL 60044-1777
(847) 295-6141
(847) 295-6176
Mailing address
1144 PINE OAKS CIRCLES, LAKE FOREST, IL 60045
(847) 894-8373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632939
BCBS PROVIDER
IL
Enumeration date
11/30/2006
Last updated
07/08/2007
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