Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul Ninnemann

Individual provider Clinical Social Worker · NPI 1760863542

Paul Ninnemann is a Clinical Social Worker in Hazel Crest, Illinois. Qualified in 2009, 17 years ago. Practices with Midwest Post Acute Care PLLC, a 120-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Licensed in
IL
In the registry since
2015
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Practice location Address checks out

1909 Cheker Sq
Hazel Crest, IL 60429-1442
Phone: (708) 444-1012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149021791 (IL)

Record details

NPI number1760863542
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2015
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024
Mailing address17746 Oak Park Ave, Tinley Park, IL 60477-3936

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Midwest Post Acute Care Pllc — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hazel Crest