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NPI Code Detail

MEDICARE: MRS. SABRINA F CONNELLY LCSW

MEDICARE: MRS. SABRINA F CONNELLY 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 Worker149012069IL

General Provider Information

NPI Number : 1376711127
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SABRINA F CONNELLY LCSW
Provider Business Mailing Address
First Line : 1100 JORIE BLVD STE 300
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-2219
Country : US
Telephone Number : 630-974-6602
Fax Number : 630-487-2411
Provider Business Practice Location Address
First Line : 1100 JORIE BLVD STE 300
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-2219
Country : US
Telephone Number : 630-974-6602
Fax Number : 630-487-2411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2008
Last Update Date : 04/08/2025

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Directions to “ MRS. SABRINA F CONNELLY LCSW” Practice Location

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