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NPI Code Detail

MEDICARE: MS. MADELINE E ARROYO LCSW

MEDICARE: MS. MADELINE E ARROYO 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 Worker149022492IL

General Provider Information

NPI Number : 1679189005
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MADELINE E ARROYO LCSW
Provider Business Mailing Address
First Line : 1925 N CLYBOURN AVE STE 401
Second Line :
City : CHICAGO
State : IL
Zip : 60614-7397
Country : US
Telephone Number : 312-857-4392
Fax Number :
Provider Business Practice Location Address
First Line : 1925 N CLYBOURN AVE STE 401
Second Line :
City : CHICAGO
State : IL
Zip : 60614-7397
Country : US
Telephone Number : 312-857-4392
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2020
Last Update Date : 09/09/2023

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