Organization
SHALE MARKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EWA ROZEK ADMIN (MANAGER)
(847) 337-1960
Entity
Organization
Contact information
Practice address
355 W DUNDEE RD STE 110, BUFFALO GROVE, IL 60089-3500
(847) 337-1960
Mailing address
355 W DUNDEE RD STE 110, BUFFALO GROVE, IL 60089-3500
(847) 337-1960
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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