MEDICARE: MR. ALAN PATRICK SALMI L.C.S.W.

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		IL

General Provider Information

NPI Number	:	1184721706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALAN PATRICK SALMI L.C.S.W.

Provider Business Mailing Address
First Line	:	6424 N GLENWOOD AVE
Second Line	:	#2G
City	:	CHICAGO
State	:	IL
Zip	:	60626-6301
Country	:	US
Telephone Number	:	773-338-3552
Fax Number	:	312-266-9491

Provider Business Practice Location Address
First Line	:	8 W CHESTNUT ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610-3313
Country	:	US
Telephone Number	:	312-266-9090
Fax Number	:	312-266-9491

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

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	07/08/2007

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