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Individual

MRS. CAROL O WEINBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
426 PARK AVE E, SUITE 5, HIGHLAND PARK, IL 60035-2627
(847) 433-8407
(847) 926-8180
Mailing address
426 PARK AVE E, SUITE 5, HIGHLAND PARK, IL 60035-2627
(847) 433-8407
(847) 926-8180

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04932416
BCBS OF ILLINOIS
IL
01
32044
ENH ILLINOIS
Enumeration date
11/17/2006
Last updated
07/08/2007
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