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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