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NPI Code Detail

MEDICARE: KATHARINE SELSKY

MEDICARE: KATHARINE SELSKY
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 Worker

General Provider Information

NPI Number : 1720921539
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHARINE SELSKY
Provider Business Mailing Address
First Line : 1610 N WOLCOTT AVE APT 1F
Second Line :
City : CHICAGO
State : IL
Zip : 60622-1324
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2150 W HARRISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3706
Country : US
Telephone Number : 312-942-5375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ KATHARINE SELSKY ” Practice Location

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