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

MR. PAUL J. DETAEGE, L.C.S.W.

Active Sole Proprietor

MR. PAUL J. DETAEGE, L.C.S.W. is a Clinical Social Worker healthcare provider located in CHICAGO, Illinois. NPI 1598887580 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CHICAGO, IL

Registration Details

NPI Number
1598887580
Provider Type
Individual
Gender
Male
NPI Issued
Apr 3, 2007 (19.342358134398 yrs)
Last Updated
Aug 5, 2022
License
149.008180 (IL)
Sole Proprietor
Yes

Practice Information

Address
5215 N RAVENSWOOD AVE STE 314
CHICAGO, IL, 606401670
Browse IL providers · Browse ZIP 60640
Phone
7739884965
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in CHICAGO, IL

Name Credential NPI
MS. ROBERTA SUE BARRY LCSW 1578560736
MISS LAURIEANN CHUTIS LCSW 1487653788
JENNIFER ANN JONES LCSW 1780676106
MS. PHYLLIS SYDNIE GOULD LCSW 1215920608
MS. KIRSTEN DANA BELZER LCSW 1548254675
PATRICIA SEGHERS PHD, LCSW 1699763193
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.