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NPI Code Detail

MEDICARE: KATHERINE RACK LCSW

MEDICARE:   KATHERINE  RACK  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 Worker149.027301IL
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1477160299
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE RACK LCSW
Provider Business Mailing Address
First Line : 2501 CHATHAM RD STE 6508
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62704-4188
Country : US
Telephone Number : 312-426-8731
Fax Number :
Provider Business Practice Location Address
First Line : 5030 N WINTHROP AVE APT 3E
Second Line :
City : CHICAGO
State : IL
Zip : 60640-6436
Country : US
Telephone Number : 312-426-8731
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2020
Last Update Date : 05/19/2026

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Directions to “ KATHERINE RACK LCSW” Practice Location

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