MEDICARE: LINDA BARTOLI 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
1	1041C0700X	Clinical Social Worker	149.016655	IL

General Provider Information

NPI Number	:	1518356849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA BARTOLI LCSW

Provider Business Mailing Address
First Line	:	2300 W WABANSIA AVE
Second Line	:	UNIT 316
City	:	CHICAGO
State	:	IL
Zip	:	60647-5338
Country	:	US
Telephone Number	:	312-515-2221
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 N GREEN ST
Second Line	:	SUITE 200
City	:	CHICAGO
State	:	IL
Zip	:	60642-5996
Country	:	US
Telephone Number	:	312-515-2221
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2015
Last Update Date	:	04/16/2015

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Directions to “ LINDA BARTOLI LCSW” Practice Location

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