Unknown Individual – Clinical Social Worker, NPI 1457348682
Clinical Social Worker
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Old Republic Building, 307, North Michigan Avenue, New East Side, Loop, Chicago, South Chicago Township, Cook County, Illinois, 60601, United States
SUITE 312
CHICAGO, IL 606015311
Phone: (312) 621-9166
Fax: (312) 880-0098
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60601)
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