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NPI Code Detail

MEDICARE: CSILLA BOKOR MEGYERI LCSW

MEDICARE: CSILLA BOKOR MEGYERI 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 Worker149.019692IL

General Provider Information

NPI Number : 1720598618
Entity Type Code : Individual
Provider Name (Legal Business Name) : CSILLA BOKOR MEGYERI LCSW
Provider Business Mailing Address
First Line : 5215 N CALIFORNIA AVE STE F101
Second Line :
City : CHICAGO
State : IL
Zip : 60625-0035
Country : US
Telephone Number : 773-561-5809
Fax Number : 773-561-5946
Provider Business Practice Location Address
First Line : 5215 N CALIFORNIA AVE STE F101
Second Line :
City : CHICAGO
State : IL
Zip : 60625-0035
Country : US
Telephone Number : 773-561-5809
Fax Number : 773-561-5946
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2017
Last Update Date : 10/04/2017

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Directions to “ CSILLA BOKOR MEGYERI LCSW” Practice Location

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