7739956300
7739956300 provides Clinical Social Worker services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2017.
- Licensed in
- IL
- In the registry since
- 2017
Practice location Address checks out
1029 E 130th StChicago, IL 60628-6908
Phone: (773) 995-6300
Fax: (773) 995-6192
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149018713 (IL) |
|---|
Record details
| NPI number | 1336685494 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marquetta Hall — Billing Coding Specialist · (773) 995-6300 |
| Other names | Tca Health Care |
| NPI enumerated | January 13, 2017 |
| Last updated in NPPES | January 13, 2017 |
| Mailing address | 1029 E.130th Street, Chicago, IL 60628 |
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