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NPI Code Detail

MEDICARE: MARY CATHERINE CHASE

MEDICARE: MARY CATHERINE CHASE
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1265097455
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY CATHERINE CHASE
Provider Business Mailing Address
First Line : 25 E WASHINGTON ST STE 1601
Second Line :
City : CHICAGO
State : IL
Zip : 60602-1882
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25 E WASHINGTON ST STE 1601
Second Line :
City : CHICAGO
State : IL
Zip : 60602-1882
Country : US
Telephone Number : 312-500-7795
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2019
Last Update Date : 05/03/2019

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Directions to “ MARY CATHERINE CHASE ” Practice Location

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