7739956300 is a Clinical Social Worker based in Chicago, IL and is specialized in Clinical. 7739956300 practices in Chicago, IL. The NPI Number for 7739956300 is 1336685494 and holds a License No. 149018713 (Illinois).
The current practice location address for 7739956300 is 1029 E 130Th St, Chicago, IL and can be reached out via phone at 773-995-6300 and via fax at 773-995-6192.
Identifier | Type | State | Issuer |
---|---|---|---|
149018713 | 01 | IL | 149018713 |
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