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NPI Code Detail

MEDICARE: KATHERINE HALL LCSW, CCHP

MEDICARE: KATHERINE HALL LCSW, CCHP
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
11041C0700XClinical Social Worker149.016127IL

General Provider Information

NPI Number : 1275165086
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE HALL LCSW, CCHP
Provider Business Mailing Address
First Line : 1100 S HAMILTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60612-4207
Country : US
Telephone Number : 312-433-4498
Fax Number :
Provider Business Practice Location Address
First Line : 1100 S HAMILTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60612-4207
Country : US
Telephone Number : 312-433-4498
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2020
Last Update Date : 02/10/2020

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Directions to “ KATHERINE HALL LCSW, CCHP” Practice Location

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