Organization
ANNE LIDGUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE LIDGUS (OWNER)
(847) 224-0138
Entity
Organization
Contact information
Practice address
3950 N LAKE SHORE DR APT 2005, CHICAGO, IL 60613-5111
(847) 224-0138
(312) 284-4923
Mailing address
3950 N LAKE SHORE DR APT 2005, CHICAGO, IL 60613-5111
(847) 224-0138
(312) 284-4923
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.013663
IL
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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