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NPI Code Detail

MEDICARE: ROSALIE GREENBERGER LCSW

MEDICARE:   ROSALIE  GREENBERGER  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 WorkerIL

General Provider Information

NPI Number : 1629100094
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSALIE GREENBERGER LCSW
Provider Business Mailing Address
First Line : 1156 W SHURE DR STE 180
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-7803
Country : US
Telephone Number : 847-392-8820
Fax Number :
Provider Business Practice Location Address
First Line : 1156 W SHURE DR STE 180
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-7803
Country : US
Telephone Number : 847-392-8820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 02/28/2008

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Directions to “ ROSALIE GREENBERGER LCSW” Practice Location

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