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NPI Code Detail

MEDICARE: MISS KASIA PIECZARA LSW

MEDICARE: MISS KASIA PIECZARA LSW
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
1104100000XSocial Worker150108799IL

General Provider Information

NPI Number : 1700508561
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KASIA PIECZARA LSW
Provider Business Mailing Address
First Line : 345 E WACKER DR UNIT 3703
Second Line :
City : CHICAGO
State : IL
Zip : 60601-5273
Country : US
Telephone Number : 224-201-8400
Fax Number :
Provider Business Practice Location Address
First Line : 4849 N MILWAUKEE AVE STE 503
Second Line :
City : CHICAGO
State : IL
Zip : 60630-2191
Country : US
Telephone Number : 773-492-0913
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2022
Last Update Date : 09/16/2022

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Directions to “ MISS KASIA PIECZARA LSW” Practice Location

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