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NPI Code Detail

MEDICARE: MS. ERICA LOUISE BOBISH LCSW

MEDICARE: MS. ERICA LOUISE BOBISH 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 Worker149029269IL

General Provider Information

NPI Number : 1326787789
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERICA LOUISE BOBISH LCSW
Provider Business Mailing Address
First Line : 2504 N WILLETTS CT UNIT 2D
Second Line :
City : CHICAGO
State : IL
Zip : 60647-7704
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2650 W MONTROSE AVE STE 102
Second Line :
City : CHICAGO
State : IL
Zip : 60618-1562
Country : US
Telephone Number : 773-377-5261
Fax Number : 872-813-4596
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2022
Last Update Date : 05/05/2025

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