Organization · Type 2 NPI
Survivors Circle
State or Local Public Health Clinic/Center · Waukegan, IL
NPI number
1437916962
Active
Practice location
1332 Greenfield Ave
Waukegan, IL 60085-7813
Mailing address
PO Box 973
Waukegan, IL 60079-0973
Other practice locations
- 150 S. Genesee St., Waukegan, IL 60085 · (708) 548-9209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Pastoral Counselor | 101YP1600X | None listed |
| Rehabilitation Psychologist | 103TR0400X | None listed |
| Social Worker | 104100000X | None listed |
| Diabetes Educator Registered Nurse | 163WD0400X | None listed |
| Public Health or Welfare Agency | 251K00000X | None listed |
| Community Health Clinic/Center | 261QC1500X | None listed |
| Developmental Disabilities Clinic/Center | 261QD1600X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| State or Local Public Health Clinic/Center Primary | 261QP0905X | None listed |
| Prison Health Clinic/Center | 261QP2400X | None listed |
| Recovery Care Clinic/Center | 261QR0800X | None listed |
| Religious Nonmedical Practitioner | 374K00000X | None listed |
State or Local Public Health Clinic/Center: Definition to come...
Another provider at this address
About NPI 1437916962
Survivors Circle's National Provider Identifier is 1437916962, issued on Mar 1, 2024. The primary taxonomy on file is State or Local Public Health Clinic/Center (261QP0905X), and the practice location is in Waukegan, IL. The record was last updated on Jun 17, 2024.