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NPI Code Detail

MEDICARE: MS. TAMI BETH STIEBER LCSW

MEDICARE: MS. TAMI BETH STIEBER 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
11041C0700XClinical Social Worker149.011143IL

General Provider Information

NPI Number : 1083871172
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAMI BETH STIEBER LCSW
Provider Business Mailing Address
First Line : 4250 N MARINE DR APT 409
Second Line :
City : CHICAGO
State : IL
Zip : 60613-1722
Country : US
Telephone Number : 773-407-6877
Fax Number : 844-364-1778
Provider Business Practice Location Address
First Line : 8770 W BRYN MAWR AVE STE 1300
Second Line :
City : CHICAGO
State : IL
Zip : 60631-3557
Country : US
Telephone Number : 773-407-6877
Fax Number : 844-364-1778
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2008
Last Update Date : 12/20/2022

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