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NPI Code Detail

MEDICARE: JENNA DUERIG LCSW

MEDICARE: JENNA DUERIG 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
11041C0700XClinical Social Worker149024914IL

General Provider Information

NPI Number : 1306544515
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA DUERIG LCSW
Provider Business Mailing Address
First Line : 146 HIGH ST
Second Line :
City : HIGHWOOD
State : IL
Zip : 60040-1818
Country : US
Telephone Number : 847-287-4659
Fax Number :
Provider Business Practice Location Address
First Line : 1249 WAUKEGAN RD
Second Line :
City : GLENVIEW
State : IL
Zip : 60025-3077
Country : US
Telephone Number : 847-219-2513
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2023
Last Update Date : 02/16/2023

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Directions to “ JENNA DUERIG LCSW” Practice Location

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