Raydene A Edenhofer in North Chicago - Social Worker
Raydene A Edenhofer - NPI 1558308288
Raydene A Edenhofer is a Social Worker in North Chicago, Illinois. Raydene A Edenhofer practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Raydene A Edenhofer is 1558308288. The last update date is 2007-07-08.
Raydene A Edenhofer's current location address is 3001 Green Bay Rd, North Chicago, Illinois. You can contact this provider via phone number 2246102021 and fax number 2246103868. The mailing address for Raydene A Edenhofer is 3001 Green Bay Rd, North Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raydene A Edenhofer |
|---|---|
| Address | 3001 Green Bay Rd, North Chicago, Illinois |
| Phone Number | 2246102021 |
| Fax Number | 2246103868 |
| Sole Proprietor | X |
| Credentials | MSW, LSW |
NPI Number Detail
| NPI Number | 1558308288 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3001 Green Bay Rd |
|---|---|
| City | North Chicago |
| State | Illinois (IL) |
| Post Code | 600643048 |
| Phone Number | 2246102021 |
| Fax Number | 2246103868 |
Provider's Primary Taxonomy Detail
| Speciality | Social Worker |
|---|---|
| Taxonomy | 104100000X |
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Definition: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an |
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What is the Raydene A Edenhofer's unique identification number?
The Raydene A Edenhofer has been assigned the NPI (National Provider Identifier) Number 1558308288 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Raydene A Edenhofer?
The Raydene A Edenhofer is situated at 3001 Green Bay Rd, in the city of North Chicago, state of IL, with the zip code 600643048.
What is the Raydene A Edenhofer's specialty and taxonomy code?
The Raydene A Edenhofer's specialty is Social Worker, and the corresponding taxonomy code is 104100000X.
On what date did the Raydene A Edenhofer receive the assignment of its 1558308288 from the Centers for Medicare & Medicaid Services?
The Raydene A Edenhofer was issued its 1558308288 by the Centers for Medicare & Medicaid Services on 2006-06-01.
When was the information regarding Raydene A Edenhofer most recently updated?
The details pertaining to the Raydene A Edenhofer, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.