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NPI Code Detail

MEDICARE: MRS. KATHERINE BARTHOLOMEW LCSW

MEDICARE: MRS. KATHERINE BARTHOLOMEW 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 Worker149011752IL

General Provider Information

NPI Number : 1578587077
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHERINE BARTHOLOMEW LCSW
Provider Business Mailing Address
First Line : 5341 W CERMAK RD
Second Line :
City : CICERO
State : IL
Zip : 60804-2817
Country : US
Telephone Number : 708-656-6430
Fax Number :
Provider Business Practice Location Address
First Line : 5341 W CERMAK RD
Second Line :
City : CICERO
State : IL
Zip : 60804-2817
Country : US
Telephone Number : 708-656-6430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 11/05/2018

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