MEDICARE: JASON THOMAS BEST 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	149.012097	IL

General Provider Information

NPI Number	:	1154440105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON THOMAS BEST LCSW

Provider Business Mailing Address
First Line	:	6737 N HERMITAGE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-4007
Country	:	US
Telephone Number	:	847-271-1222
Fax Number	:

Provider Business Practice Location Address
First Line	:	2650 W MONTROSE AVE STE 102
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-1562
Country	:	US
Telephone Number	:	847-271-1222
Fax Number	:

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

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	01/04/2024

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