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NPI Code Detail

MEDICARE: FERNANDO RAYAS

MEDICARE:   FERNANDO  RAYAS
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 Worker

General Provider Information

NPI Number : 1609688605
Entity Type Code : Individual
Provider Name (Legal Business Name) : FERNANDO RAYAS
Provider Business Mailing Address
First Line : 3446 W BEACH AVE FL 2
Second Line :
City : CHICAGO
State : IL
Zip : 60651-2331
Country : US
Telephone Number : 312-320-6958
Fax Number :
Provider Business Practice Location Address
First Line : 3934 W 26TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60623-3743
Country : US
Telephone Number : 312-320-6958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2025
Last Update Date : 01/25/2025

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Directions to “ FERNANDO RAYAS ” Practice Location

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