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NPI Code Detail

MEDICARE: KATHARINE LOEWENSTEIN

MEDICARE: KATHARINE LOEWENSTEIN
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 Worker149.013701IL

General Provider Information

NPI Number : 1609162015
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHARINE LOEWENSTEIN
Provider Business Mailing Address
First Line : 10 W ELM ST
Second Line : 501
City : CHICAGO
State : IL
Zip : 60610-2757
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1623 N WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5321
Country : US
Telephone Number : 217-836-0701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2011
Last Update Date : 06/23/2011

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Directions to “ KATHARINE LOEWENSTEIN ” Practice Location

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