MEDICARE: OLIVIA SERRITELLA

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

General Provider Information

NPI Number	:	1154269595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA SERRITELLA

Provider Business Mailing Address
First Line	:	2923 N MILWAUKEE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-7886
Country	:	US
Telephone Number	:	800-206-8136
Fax Number	:	773-289-0944

Provider Business Practice Location Address
First Line	:	2923 N MILWAUKEE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-7886
Country	:	US
Telephone Number	:	800-206-8136
Fax Number	:	773-289-0944

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

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “ OLIVIA SERRITELLA ” Practice Location

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