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NPI Code Detail

MEDICARE: BERNADETTE BAJZEK LCSW

MEDICARE: BERNADETTE BAJZEK 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 Worker149.027259IL

General Provider Information

NPI Number : 1811705353
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNADETTE BAJZEK LCSW
Provider Business Mailing Address
First Line : 4252 W LAWRENCE AVE APT 3W
Second Line :
City : CHICAGO
State : IL
Zip : 60630-2736
Country : US
Telephone Number : 312-612-9630
Fax Number :
Provider Business Practice Location Address
First Line : 3020 N KIMBALL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-6812
Country : US
Telephone Number : 312-612-9630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2024
Last Update Date : 12/30/2024

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Directions to “ BERNADETTE BAJZEK LCSW” Practice Location

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