MEDICARE: TOLTEC SOLUTIONS

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1467275511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOLTEC SOLUTIONS

Provider Business Mailing Address
First Line	:	618 S EUCLID AVE
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60304-1204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	618 S EUCLID AVE
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60304-1204
Country	:	US
Telephone Number	:	312-354-0070
Fax Number	:	877-716-6494

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN MAYES
Credential	:
Telephone Number	:	877-716-6494

Provider Enumeration Date	:	11/06/2024
Last Update Date	:	11/06/2024

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Directions to “TOLTEC SOLUTIONS ” Practice Location

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