MEDICARE: RAMIE BOU-SAAB LCSW PLLC

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

General Provider Information

NPI Number	:	1346042207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAMIE BOU-SAAB LCSW PLLC

Provider Business Mailing Address
First Line	:	4809 N RAVENSWOOD AVE STE 426-A
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-4495
Country	:	US
Telephone Number	:	708-674-9718
Fax Number	:

Provider Business Practice Location Address
First Line	:	4809 N RAVENSWOOD AVE STE 426-A
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-4495
Country	:	US
Telephone Number	:	708-674-9718
Fax Number	:

Authorized Official
Title or Position	:	LCSW
Name	:	RAMIE BOU-SAAB
Credential	:
Telephone Number	:	708-674-9718

Provider Enumeration Date	:	03/24/2025
Last Update Date	:	06/06/2025

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