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NPI Code Detail

MEDICARE: ROBYN KAPLAN SEIDMAN LCSW

MEDICARE: ROBYN KAPLAN SEIDMAN 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 Worker149-008792IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1149-008792OTHERILLCSW

General Provider Information

NPI Number : 1437282985
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBYN KAPLAN SEIDMAN LCSW
Provider Business Mailing Address
First Line : 826 FOREST AVE
Second Line :
City : RIVER FOREST
State : IL
Zip : 60305-1362
Country : US
Telephone Number : 708-752-0867
Fax Number :
Provider Business Practice Location Address
First Line : 1623 N WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5321
Country : US
Telephone Number : 708-446-5520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 02/19/2009

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