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NPI Code Detail

MEDICARE: MARNIE BETH SPIEGEL LCSW

MEDICARE:   MARNIE BETH SPIEGEL  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 WorkerIL

General Provider Information

NPI Number : 1518136852
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARNIE BETH SPIEGEL LCSW
Provider Business Mailing Address
First Line : 455 W ARMITAGE AVE
Second Line : 1E
City : CHICAGO
State : IL
Zip : 60614-4547
Country : US
Telephone Number : 312-335-9646
Fax Number :
Provider Business Practice Location Address
First Line : 445 E OHIO ST
Second Line : 250
City : CHICAGO
State : IL
Zip : 60611-3302
Country : US
Telephone Number : 312-659-0311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2008
Last Update Date : 02/20/2008

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Directions to “ MARNIE BETH SPIEGEL LCSW” Practice Location

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