Organization
NORTH SHORE BEHAVIORAL HEALTH LLC
Active
Organization
NORTH SHORE BEHAVIORAL HEALTH LLC
Active
Other names
Woodruff Neurobehavioral Consulting LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAREY JEANNE WOODRUFF PHD (DIRECTOR)
(877) 570-7970
Entity
Organization
Contact information
Practice address
222 E WISCONSIN AVE, SUITE 108, LAKE FOREST, IL 60045-1735
(877) 570-7970
(877) 570-7970
Mailing address
PO BOX 35, LIBERTYVILLE, IL 60048-0035
(877) 570-7970
(877) 570-7970
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071007667
IL
103TC0700X
Clinical Psychologist
071007667
IL
Other
Enumeration date
11/04/2010
Last updated
08/18/2016
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