MEDICARE: ANNA FINKELSHTEIN 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	149.020223	IL

General Provider Information

NPI Number	:	1306343637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA FINKELSHTEIN LCSW

Provider Business Mailing Address
First Line	:	4949 CHURCH ST APT 101
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-1247
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4949 CHURCH ST APT 101
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-1247
Country	:	US
Telephone Number	:	773-757-3414
Fax Number	:

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

Provider Enumeration Date	:	04/12/2018
Last Update Date	:	04/12/2018

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