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NPI Code Detail

MEDICARE: ANNALISE MECHELE SORVILLO LCSW

MEDICARE: ANNALISE MECHELE SORVILLO 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 Worker149.030206IL

General Provider Information

NPI Number : 1477486298
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNALISE MECHELE SORVILLO LCSW
Provider Business Mailing Address
First Line : 2724 W DIVISION ST APT 3F
Second Line :
City : CHICAGO
State : IL
Zip : 60622-2825
Country : US
Telephone Number : 312-226-7984
Fax Number :
Provider Business Practice Location Address
First Line : 120 N SANGAMON ST # 513
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2202
Country : US
Telephone Number : 312-226-7984
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ ANNALISE MECHELE SORVILLO LCSW” Practice Location

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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.

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