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NPI Code Detail

MEDICARE: MICHAEL PREISSING MSW

MEDICARE: MICHAEL PREISSING MSW
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
21041C0700XClinical Social Worker149020817IL

General Provider Information

NPI Number : 1285102038
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL PREISSING MSW
Provider Business Mailing Address
First Line : 1111 W LAKE COOK RD
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-1926
Country : US
Telephone Number : 847-353-1758
Fax Number :
Provider Business Practice Location Address
First Line : 210 N WOLF RD
Second Line :
City : WHEELING
State : IL
Zip : 60090-2922
Country : US
Telephone Number : 847-353-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2018
Last Update Date : 01/02/2019

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Directions to “ MICHAEL PREISSING MSW” Practice Location

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