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NPI Code Detail

MEDICARE: MARILYN CALIK MSW

MEDICARE:   MARILYN  CALIK  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
2222Q00000XDevelopmental Therapist
31041C0700XClinical Social Worker149015892IL

General Provider Information

NPI Number : 1356681647
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN CALIK MSW
Provider Business Mailing Address
First Line : 4103 W GLENLAKE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60646-5203
Country : US
Telephone Number : 773-213-0060
Fax Number :
Provider Business Practice Location Address
First Line : 6501 S PROMONTORY DR
Second Line :
City : CHICAGO
State : IL
Zip : 60649-1002
Country : US
Telephone Number : 773-363-6700
Fax Number : 773-363-3481
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2013
Last Update Date : 02/21/2020

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Directions to “ MARILYN CALIK MSW” Practice Location

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