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NPI Code Detail

MEDICARE: ALEXANDRA SHUMAN

MEDICARE:   ALEXANDRA  SHUMAN
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 Worker149.025461IL

General Provider Information

NPI Number : 1356943773
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA SHUMAN
Provider Business Mailing Address
First Line : 535 W CORNELIA AVE APT 1101
Second Line :
City : CHICAGO
State : IL
Zip : 60657-2709
Country : US
Telephone Number : 305-582-7425
Fax Number :
Provider Business Practice Location Address
First Line : 2801 N SHEFFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5003
Country : US
Telephone Number : 773-281-8130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2020
Last Update Date : 04/11/2023

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Directions to “ ALEXANDRA SHUMAN ” Practice Location

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