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NPI Code Detail

MEDICARE: MS. ZRINKA IVKOVIC MA, LCSW

MEDICARE: MS. ZRINKA IVKOVIC MA, 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 : 1588852446
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ZRINKA IVKOVIC MA, LCSW
Provider Business Mailing Address
First Line : 2525 WEST PETERSON AVE
Second Line : COMMUNITY COUNSELING CENTERS OF CHICAGO
City : CHICAGO
State : IL
Zip : 60659-4108
Country : US
Telephone Number : 773-506-2525
Fax Number : 773-765-0622
Provider Business Practice Location Address
First Line : 2525 WEST PETERSON AVE
Second Line : COMMUNITY COUNSELING CENTERS OF CHICAGO
City : CHICAGO
State : IL
Zip : 60659-4108
Country : US
Telephone Number : 773-506-2525
Fax Number : 773-765-0622
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2007
Last Update Date : 12/04/2007

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