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NPI Code Detail

MEDICARE: SHARON BLOCH LCSW

MEDICARE:   SHARON  BLOCH  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 Worker149007382IL

General Provider Information

NPI Number : 1447227277
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON BLOCH LCSW
Provider Business Mailing Address
First Line : 3345 N ARLINGTON HEIGHTS RD
Second Line : STE E
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1591
Country : US
Telephone Number : 847-577-1501
Fax Number :
Provider Business Practice Location Address
First Line : 3345 N ARLINGTON HEIGHTS RD
Second Line : STE E
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1591
Country : US
Telephone Number : 847-577-1501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 09/02/2016

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Directions to “ SHARON BLOCH LCSW” Practice Location

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