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NPI Code Detail

MEDICARE: SARAH LILLIAN RAZO LCSW

MEDICARE: SARAH LILLIAN RAZO LCSW
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
11041C0700XClinical Social Worker149.017886IL

General Provider Information

NPI Number : 1063059897
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH LILLIAN RAZO LCSW
Provider Business Mailing Address
First Line : 4800 N MILWAUKEE AVE STE 202
Second Line :
City : CHICAGO
State : IL
Zip : 60630-2156
Country : US
Telephone Number : 773-809-4920
Fax Number : 773-809-4922
Provider Business Practice Location Address
First Line : 676 N SAINT CLAIR ST STE 1100
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2954
Country : US
Telephone Number : 312-695-5060
Fax Number : 312-695-5010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2019
Last Update Date : 07/18/2023

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Directions to “ SARAH LILLIAN RAZO LCSW” Practice Location

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