Fiedorowicz, Aline M

Fiedorowicz, Aline M is an individual health care provider with primary practice located at 21 N Skokie Hwy Suite 203, Lake Bluff IL 60044-1777. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fiedorowicz, Aline M can be contacted via phone (847) 295-6141.

Contact Information

Primary practice address
21 N Skokie Hwy Suite 203 Lake Bluff IL 60044-1777
Fax: (847) 295-6176
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1437226677
LBN Legal business name Fiedorowicz, Aline M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437226677 NPPES
Illinois Other 01632939 BCBS PROVIDER

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