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NPI Code Detail

MEDICARE: ABBY TOMS LCSW

MEDICARE:   ABBY  TOMS  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 Worker149017426IL

General Provider Information

NPI Number : 1548653116
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBY TOMS LCSW
Provider Business Mailing Address
First Line : 625 N MICHIGAN AVE STE 2550
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3182
Country : US
Telephone Number : 312-533-2441
Fax Number :
Provider Business Practice Location Address
First Line : 625 N MICHIGAN AVE STE 2550
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3182
Country : US
Telephone Number : 312-533-2441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2015
Last Update Date : 05/29/2024

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Directions to “ ABBY TOMS LCSW” Practice Location

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