MEDICARE: JAZZ MCGINNIS 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

General Provider Information

NPI Number	:	1528680030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAZZ MCGINNIS LCSW

Provider Business Mailing Address
First Line	:	1200 N LA SALLE DR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610-1913
Country	:	US
Telephone Number	:	773-468-2521
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 N LA SALLE DR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610-1913
Country	:	US
Telephone Number	:	773-468-2521
Fax Number	:

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

Provider Enumeration Date	:	05/07/2020
Last Update Date	:	10/07/2025

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Directions to “ JAZZ MCGINNIS LCSW” Practice Location

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