Alice K Virgil is a Clinical in Lake Bluff, Illinois. Alice K Virgil practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alice K Virgil is 1003969247. The last update date is 2013-05-14.
Alice K Virgil's current location address is 12979 W Sanctuary Ct, Lake Bluff, Illinois. You can contact this provider via phone number 7739199170. The mailing address for Alice K Virgil is 12979 W Sanctuary Ct, Lake Bluff, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alice K Virgil |
|---|---|
| Address | 12979 W Sanctuary Ct, Lake Bluff, Illinois |
| Phone Number | 7739199170 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1003969247 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2013-05-14 |
Provider Mailing Address Detail
| Address | 12979 W Sanctuary Ct |
|---|---|
| City | Lake Bluff |
| State | Illinois (IL) |
| Post Code | 600441139 |
| Phone Number | 7739199170 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.01038 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identification code assigned to Alice K Virgil by the Centers for Medicare & Medicaid Services?
The Alice K Virgil has been issued the NPI (National Provider Identifier) 1003969247. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Alice K Virgil is located?
The Alice K Virgil is situated at the following address: 12979 W Sanctuary Ct, Lake Bluff, IL, 600441139.
What is the Alice K Virgil's area of specialization and corresponding taxonomy classification?
The Alice K Virgil's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did Alice K Virgil receive its 1003969247 assignment from the Centers for Medicare & Medicaid Services?
The Alice K Virgil was assigned its 1003969247 on 2007-01-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Alice K Virgil most recently updated?
The details pertaining to the Alice K Virgil, including its address, specialty, and other relevant information, were last refreshed on 2013-05-14.