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NPI Code Detail

MEDICARE: ELVIA ROSA GUZMAN LCSW

MEDICARE:   ELVIA ROSA GUZMAN  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 Worker149.028836IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144795568
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELVIA ROSA GUZMAN LCSW
Provider Business Mailing Address
First Line : 4801 S LAVERGNE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60638-2138
Country : US
Telephone Number : 773-954-6105
Fax Number : 773-954-6105
Provider Business Practice Location Address
First Line : 4801 S LAVERGNE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60638-2138
Country : US
Telephone Number : 773-954-6105
Fax Number : 773-954-6105
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2018
Last Update Date : 06/27/2025

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Directions to “ ELVIA ROSA GUZMAN LCSW” Practice Location

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