Roberta Shirley Gr Vondrak in Plainfield - Addiction (substance Use Disorder)

Roberta Shirley Gr Vondrak - NPI 1184731341

Roberta Shirley Gr Vondrak is a Addiction (substance Use Disorder) in Plainfield, Illinois. Roberta Shirley Gr Vondrak practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Roberta Shirley Gr Vondrak is 1184731341. The last update date is 2007-07-08.

Roberta Shirley Gr Vondrak's current location address is 13300 S Rte 59, Plainfield, Illinois. You can contact this provider via phone number 8155778970 and fax number 8155778988. The mailing address for Roberta Shirley Gr Vondrak is 13300 S Rte 59, Plainfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Roberta Shirley Gr Vondrak
Address 13300 S Rte 59, Plainfield, Illinois
Phone Number 8155778970
Fax Number 8155778988
Sole Proprietor N
Credentials LCPC CADC

NPI Number Detail

NPI Number 1184731341
Provider Enumeration Date 2006-08-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 13300 S Rte 59
City Plainfield
State Illinois (IL)
Post Code 60585
Phone Number 8155778970
Fax Number 8155778988

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 20287
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9932324 IL BCBS

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FAQs about Roberta Shirley Gr Vondrak

What is the unique identifier code issued to Roberta Shirley Gr Vondrak by the Centers for Medicare & Medicaid Services (CMS)?

The Roberta Shirley Gr Vondrak has been assigned the NPI (National Provider Identifier) 1184731341. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Roberta Shirley Gr Vondrak's facilities are geographically located?

The facilities of Roberta Shirley Gr Vondrak are physically situated at the following location: 13300 S Rte 59, Plainfield, IL, 60585.

What is Roberta Shirley Gr Vondrak's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Roberta Shirley Gr Vondrak is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

When did the Roberta Shirley Gr Vondrak receive its 1184731341?

The Roberta Shirley Gr Vondrak was issued its 1184731341 on 2006-08-24, which is the date when the organization was assigned this unique identifier.

When was the information regarding Roberta Shirley Gr Vondrak, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Roberta Shirley Gr Vondrak, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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