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NPI Code Detail

MEDICARE: VALORIE JAMES LCSW

MEDICARE: VALORIE JAMES 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 Worker149011450IL

General Provider Information

NPI Number : 1568834356
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALORIE JAMES LCSW
Provider Business Mailing Address
First Line : 1800 N HERMITAGE AVE
Second Line : 2ND FLOOR
City : CHICAGO
State : IL
Zip : 60622-1161
Country : US
Telephone Number : 312-655-7143
Fax Number : 312-266-9027
Provider Business Practice Location Address
First Line : 1800 N HERMITAGE AVE
Second Line : 2ND FLOOR
City : CHICAGO
State : IL
Zip : 60622-1161
Country : US
Telephone Number : 312-655-7143
Fax Number : 312-266-9027
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2015
Last Update Date : 10/20/2015

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Directions to “ VALORIE JAMES LCSW” Practice Location

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