MEDICARE: SHARON LEE VOYDA MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker		IL

General Provider Information

NPI Number	:	1205974748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON LEE VOYDA MSW

Provider Business Mailing Address
First Line	:	675 N NORTH CT STE 380
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-8131
Country	:	US
Telephone Number	:	847-327-1408
Fax Number	:	847-705-0147

Provider Business Practice Location Address
First Line	:	675 N NORTH CT STE 380
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-8131
Country	:	US
Telephone Number	:	847-327-1408
Fax Number	:	847-705-0147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2007
Last Update Date	:	07/08/2007

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