Individual
MRS. CHRISTINE STEVICK KANDARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
340 PORTWINE RD, RIVERWOODS, IL 60015-3831
(847) 405-0516
(847) 405-0516
Mailing address
340 PORTWINE RD, RIVERWOODS, IL 60015-3831
(847) 405-0516
(847) 405-0516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049-72076
BC/BS
IL
Enumeration date
08/15/2006
Last updated
07/08/2007
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