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NPI Code Detail

MEDICARE: DEANNA PACELLI

MEDICARE: DEANNA PACELLI
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
1101Y00000XCounselor
21041C0700XClinical Social Worker
31041C0700XClinical Social Worker149.022378IL

General Provider Information

NPI Number : 1073097648
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA PACELLI
Provider Business Mailing Address
First Line : 942 GUNDERSON AVE
Second Line :
City : OAK PARK
State : IL
Zip : 60304-2116
Country : US
Telephone Number : 773-383-8022
Fax Number :
Provider Business Practice Location Address
First Line : 25 E WASHINGTON ST STE 1835
Second Line :
City : CHICAGO
State : IL
Zip : 60602-1836
Country : US
Telephone Number : 312-940-3655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2018
Last Update Date : 03/09/2023

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Directions to “ DEANNA PACELLI ” Practice Location

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