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NPI Code Detail

MEDICARE: NINA HOCHEVAR LCSW, ACSW

MEDICARE: NINA HOCHEVAR LCSW, ACSW
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 : 1639382120
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA HOCHEVAR LCSW, ACSW
Provider Business Mailing Address
First Line : 1111 N WELLS ST STE 400
Second Line :
City : CHICAGO
State : IL
Zip : 60610-7632
Country : US
Telephone Number : 312-573-8860
Fax Number : 312-255-0362
Provider Business Practice Location Address
First Line : 1111 N WELLS ST STE 400
Second Line :
City : CHICAGO
State : IL
Zip : 60610-7632
Country : US
Telephone Number : 312-573-8860
Fax Number : 312-255-0362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 07/08/2007

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