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NPI Code Detail

MEDICARE: MRS. AMRA SKOCIC LCSW

MEDICARE: MRS. AMRA SKOCIC 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 Worker149031877IL

General Provider Information

NPI Number : 1417880626
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMRA SKOCIC LCSW
Provider Business Mailing Address
First Line : 2950 W CHICAGO AVE STE 202
Second Line :
City : CHICAGO
State : IL
Zip : 60622-4377
Country : US
Telephone Number : 773-799-6372
Fax Number : 773-260-1599
Provider Business Practice Location Address
First Line : 2950 W CHICAGO AVE STE 202
Second Line :
City : CHICAGO
State : IL
Zip : 60622-4377
Country : US
Telephone Number : 773-799-6372
Fax Number : 773-260-1599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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