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NPI Code Detail

MEDICARE: MR. ALEC HOPMAYER

MEDICARE:  MR. ALEC  HOPMAYER
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 Worker
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1487491726
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALEC HOPMAYER
Provider Business Mailing Address
First Line : 2621 W WILSON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-3027
Country : US
Telephone Number : 312-636-8811
Fax Number :
Provider Business Practice Location Address
First Line : 2621 W WILSON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-3027
Country : US
Telephone Number : 312-636-8811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2024
Last Update Date : 07/12/2024

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Directions to “ MR. ALEC HOPMAYER ” Practice Location

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