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NPI Code Detail

MEDICARE: MARA Y SCHIEBER LCSW CADC

MEDICARE: MARA Y SCHIEBER LCSW CADC
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 Worker149010812IL

General Provider Information

NPI Number : 1932407111
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARA Y SCHIEBER LCSW CADC
Provider Business Mailing Address
First Line : 867 N DEARBORN ST
Second Line :
City : CHICAGO
State : IL
Zip : 60610-3310
Country : US
Telephone Number : 312-943-3534
Fax Number :
Provider Business Practice Location Address
First Line : 867 N DEARBORN ST
Second Line :
City : CHICAGO
State : IL
Zip : 60610-3310
Country : US
Telephone Number : 312-943-3534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2011
Last Update Date : 03/11/2011

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Directions to “ MARA Y SCHIEBER LCSW CADC” Practice Location

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