MEDICARE: MRS. SHEILA RAE HEMKER M.S.W., 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
1	1041C0700X	Clinical Social Worker		IL

General Provider Information

NPI Number	:	1083780316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHEILA RAE HEMKER M.S.W., LCSW

Provider Business Mailing Address
First Line	:	1516 S WABASH AVE
Second Line	:	#607
City	:	CHICAGO
State	:	IL
Zip	:	60605-2903
Country	:	US
Telephone Number	:	708-212-2558
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 S MARION ST
Second Line	:	4TH FLOOR
City	:	OAK PARK
State	:	IL
Zip	:	60302-2809
Country	:	US
Telephone Number	:	708-386-2100
Fax Number	:

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

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	07/08/2007

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