Organization
AVI RUDNICK LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVI RUDNICK (MEMBER/OWNER)
(312) 620-9868
Entity
Organization
Contact information
Practice address
5153 N CLARK ST, CHICAGO, IL 60640-6823
(312) 620-9868
Mailing address
5153 N CLARK ST, CHICAGO, IL 60640-6823
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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