MEDICARE: ALEXIS BARKIN

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
1	1041C0700X	Clinical Social Worker	149023371	IL

General Provider Information

NPI Number	:	1013509314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS BARKIN

Provider Business Mailing Address
First Line	:	5112 N WOLCOTT AVE APT 3S
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-8637
Country	:	US
Telephone Number	:	248-303-6562
Fax Number	:

Provider Business Practice Location Address
First Line	:	3033 N CLARK ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-5205
Country	:	US
Telephone Number	:	248-303-6562
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2021
Last Update Date	:	07/05/2022

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Directions to “ ALEXIS BARKIN ” Practice Location

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