MEDICARE: MRS. CINDY R HITCHCOCK MSW, 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
1	1041C0700X	Clinical Social Worker	149008403	IL
2	104100000X	Social Worker	149-008403	IL

General Provider Information

NPI Number	:	1477529865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CINDY R HITCHCOCK MSW, LCSW

Provider Business Mailing Address
First Line	:	2500 W. HIGGINS ROAD
Second Line	:	SUITE 1279
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-2051
Country	:	US
Telephone Number	:	847-373-5700
Fax Number	:	847-884-7441

Provider Business Practice Location Address
First Line	:	2500 W. HIGGINS ROAD
Second Line	:	SUITE 1279
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-2051
Country	:	US
Telephone Number	:	847-373-5700
Fax Number	:	847-884-7441

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

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	10/12/2012

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