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NPI Code Detail

MEDICARE: JULIE HANSON LCSW

MEDICARE: JULIE HANSON 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 Worker149.007748IL

General Provider Information

NPI Number : 1588071732
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE HANSON LCSW
Provider Business Mailing Address
First Line : 1000 HART RD STE 130
Second Line :
City : BARRINGTON
State : IL
Zip : 60010-2668
Country : US
Telephone Number : 847-737-5277
Fax Number : 847-737-5280
Provider Business Practice Location Address
First Line : 1000 HART RD STE 130
Second Line :
City : BARRINGTON
State : IL
Zip : 60010-2668
Country : US
Telephone Number : 847-737-5277
Fax Number : 847-737-5280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2014
Last Update Date : 05/04/2022

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