| Organization Name: | CORRI FERDMAN LCSW LLC |
| NPI Number: | 1295809986 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CORRI J FERDMAN (LCSW) |
| Mailing Address: | 900 North Shore Dr 200 Lake Bluff |
| State: | IL US |
| Postal Code: | 600442243 |
| Phone Number: | 8477930788 |
| Fax Number: | 8477930789 |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 03/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |