MEDICARE: KATLYN HINDLE 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	104100000X	Social Worker	150103525	IL

General Provider Information

NPI Number	:	1356809313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATLYN HINDLE LCSW

Provider Business Mailing Address
First Line	:	3950 CHARLEMAGNE DR
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60192-1623
Country	:	US
Telephone Number	:	847-313-5550
Fax Number	:

Provider Business Practice Location Address
First Line	:	824 W BARTLETT RD
Second Line	:
City	:	BARTLETT
State	:	IL
Zip	:	60103-4402
Country	:	US
Telephone Number	:	630-587-3777
Fax Number	:

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

Provider Enumeration Date	:	03/08/2019
Last Update Date	:	04/29/2022

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