Carol Gore, LCSW
Individual provider Active NPI Social Worker · Riverwoods, IL
NPI 1154413987 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154413987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 240 Saunders Rd
Riverwoods, IL 60015-3835 - Phone
- (847) 236-1701
- Fax
- (847) 236-1705
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wholehealth Chicago-3 | Current |
Accepting new patients |
Locations
2265 N Clybourn Ave
Chicago, IL 60614
Phone (773) 296-6700
240 Saunders Rd
Riverwoods, IL 60015
Phone (847) 236-1701
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | IL | Yes |
Addresses
Primary practice location
240 Saunders Rd
Riverwoods, IL 60015-3835
Mailing address
240 Saunders Rd
Riverwoods, IL 60015-3835
Phone (847) 236-1701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004927712 | Other | IL | BC/BS |
Other providers in Riverwoods, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.