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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

7739956300

Active Organization

7739956300 is a Clinical Social Worker organization located in CHICAGO, Illinois. NPI 1336685494 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CHICAGO, IL

Registration Details

NPI Number
1336685494
Provider Type
Organization
NPI Issued
Jan 13, 2017 (9.3978543731336 yrs)
Last Updated
Jan 13, 2017
License
149018713 (IL)

Practice Information

Address
1029 E 130TH ST
CHICAGO, IL, 606286908
Browse IL providers · Browse ZIP 60628
Phone
7739956300
Fax
7739956192
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.