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NPI Code Detail

MEDICARE: VERONICA CECILIA EHMIG LCSW

MEDICARE:   VERONICA CECILIA EHMIG  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 Worker149.022670IL

General Provider Information

NPI Number : 1548851058
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA CECILIA EHMIG LCSW
Provider Business Mailing Address
First Line : 9904 S KILBOURN AVE
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-3540
Country : US
Telephone Number : 773-852-6208
Fax Number :
Provider Business Practice Location Address
First Line : 10522 S CICERO AVE STE 202
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-5290
Country : US
Telephone Number : 708-636-2211
Fax Number : 708-636-5552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2021
Last Update Date : 01/27/2021

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Directions to “ VERONICA CECILIA EHMIG LCSW” Practice Location

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