Individual
ERIC WILLIAM HOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
33366 N LONE ROCK RD, GRAYSLAKE, IL 60030-1925
(224) 360-4789
Mailing address
PO BOX 761, GRAYSLAKE, IL 60030-0761
(224) 360-4789
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150004519
IL
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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