MEDICARE: EDINA SETSUKO TAERBAUM

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	104100000X	Social Worker	150.118976	IL

General Provider Information

NPI Number	:	1023960630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDINA SETSUKO TAERBAUM

Provider Business Mailing Address
First Line	:	7831 KILDARE AVE
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-3515
Country	:	US
Telephone Number	:	847-909-3981
Fax Number	:

Provider Business Practice Location Address
First Line	:	3110 W GRAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-4324
Country	:	US
Telephone Number	:	847-909-3981
Fax Number	:

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

Provider Enumeration Date	:	02/14/2026
Last Update Date	:	02/14/2026

Similar Medicare Providers

1851776009 — KATIE KOLZOW LCSW
Practice Location Address:

3110 W GRAND AVE
CHICAGO, IL
60622-4324

Practice Phone: 773-279-3736
Practice Fax:

1336280122 — ELEAZAR E CALERO MD
Practice Location Address:

4324 W 63RD ST
CHICAGO, IL
60629-5012

Practice Phone: 773-767-3171
Practice Fax: 773-767-9227

1750805495 — JOSHUA KAPLAN LCPC
Practice Location Address:

6160 N CICERO AVE STE 305
CHICAGO, IL
60646-4324

Practice Phone: 773-932-9597
Practice Fax:

1053907196 — REHAB LAB LLC
Practice Location Address:

2577 W ARMITAGE AVE
CHICAGO, IL
60647-4324

Practice Phone: 224-456-7165
Practice Fax:

1801505821 — CHARLOTTE DENISE GILMORE-WILLIAMS
Practice Location Address:

1711 N SAYRE AVE
CHICAGO, IL
60707-4324

Practice Phone: 773-718-0794
Practice Fax:

1316821028 — TYLER PALMER DC
Practice Location Address:

2577 W ARMITAGE AVE
CHICAGO, IL
60647-4324

Practice Phone: 720-696-0068
Practice Fax:

Directions to “ EDINA SETSUKO TAERBAUM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.