MEDICARE: YARA SHADID LSW

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	104100000X	Social Worker	150106279	IL

General Provider Information

NPI Number	:	1164237160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YARA SHADID LSW

Provider Business Mailing Address
First Line	:	4042 W OAKDALE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-5412
Country	:	US
Telephone Number	:	773-937-3184
Fax Number	:

Provider Business Practice Location Address
First Line	:	4042 W OAKDALE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-5412
Country	:	US
Telephone Number	:	773-937-3184
Fax Number	:

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

Provider Enumeration Date	:	02/08/2025
Last Update Date	:	02/08/2025

Similar Medicare Providers

1336235829 — MS. SHEILA DAWN HANRAHAN MSW LCPC
Practice Location Address:

5412 N CLARK ST SUITE 201 , SUITE 201
CHICAGO, IL
60640-1272

Practice Phone: 773-275-3300
Practice Fax:

1609914654 — S. ANNE REDMOND L.C.P.C.
Practice Location Address:

5412 N CLARK ST , SOUTH SUITE
CHICAGO, IL
60640-1223

Practice Phone: 773-580-2940
Practice Fax:

1073654968 — JASON WALTERS PT
Practice Location Address:

1644 N MILWAUKEE AVE
CHICAGO, IL
60647-5412

Practice Phone: 773-252-2300
Practice Fax: 773-252-2319

1245374024 — MARY ABRAHAMSEN DPT
Practice Location Address:

1644 N MILWAUKEE AVE
CHICAGO, IL
60647-5412

Practice Phone: 773-252-2300
Practice Fax: 773-252-2319

1730224536 — DAPHNE SCOTT MPT
Practice Location Address:

1644 N MILWAUKEE AVE
CHICAGO, IL
60647-5412

Practice Phone: 773-252-2300
Practice Fax: 773-252-2319

1942331343 — JACQUELINE M PRUSINSKI ATC
Practice Location Address:

5412 N MONT CLARE AVE
CHICAGO, IL
60656-1931

Practice Phone: 773-631-8616
Practice Fax:

Directions to “ YARA SHADID LSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.