MEDICARE: MS. ROSEMARY SPIZZIRRI II 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	149.009677	IL

General Provider Information

NPI Number	:	1164812244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSEMARY SPIZZIRRI II LCSW

Provider Business Mailing Address
First Line	:	1408 HARVEY AVE
Second Line	:
City	:	BERWYN
State	:	IL
Zip	:	60402-1106
Country	:	US
Telephone Number	:	708-351-8831
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 S YORK ST
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-3432
Country	:	US
Telephone Number	:	708-351-8831
Fax Number	:

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

Provider Enumeration Date	:	01/28/2015
Last Update Date	:	07/22/2015

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