MEDICARE: DR. ZAUDITA ESTHER MCCANTS PH.D., M.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149.017128	IL

General Provider Information

NPI Number	:	1013306141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZAUDITA ESTHER MCCANTS PH.D., M.S.W.

Provider Business Mailing Address
First Line	:	501 E 32ND ST APT 1512
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-4080
Country	:	US
Telephone Number	:	702-277-4562
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 EAST 32ND STREET APT 1512
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616
Country	:	US
Telephone Number	:	702-277-4562
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2015
Last Update Date	:	01/13/2015

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