MEDICARE: MAKING THE DIFFERENCE INTERNATIONAL, INC

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
2	251S00000X	Community/Behavioral Health Agency
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
4	1041C0700X	Clinical Social Worker	149.008422	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2784763	OTHER	IL	CIGNA BEHAVIORAL HEALTH

General Provider Information

NPI Number	:	1528390929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAKING THE DIFFERENCE INTERNATIONAL, INC

Provider Business Mailing Address
First Line	:	27 N WACKER DR
Second Line	:	SUITE 166
City	:	CHICAGO
State	:	IL
Zip	:	60606-2800
Country	:	US
Telephone Number	:	312-607-1385
Fax Number	:	773-548-6400

Provider Business Practice Location Address
First Line	:	1325 S WABASH AVE STE 302
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-2536
Country	:	US
Telephone Number	:	312-607-1385
Fax Number	:	312-277-6113

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GAIL MARIE GRABCZYNSKI
Credential	:	EDD
Telephone Number	:	312-607-1385

Provider Enumeration Date	:	02/10/2010
Last Update Date	:	01/26/2024

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Directions to “MAKING THE DIFFERENCE INTERNATIONAL, INC ” Practice Location

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