MEDICARE: MS. JUDITH L. FRANKLIN 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
1	1041C0700X	Clinical Social Worker	149-000920	IL
2	1041C0700X	Clinical Social Worker	149-020920	IL

General Provider Information

NPI Number	:	1689745788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JUDITH L. FRANKLIN LCSW

Provider Business Mailing Address
First Line	:	2617 GLENVIEW RD
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60025-2715
Country	:	US
Telephone Number	:	847-975-2410
Fax Number	:

Provider Business Practice Location Address
First Line	:	1655 N ARLINGTON HEIGHTS RD STE 301E
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-3978
Country	:	US
Telephone Number	:	847-222-1701
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2006
Last Update Date	:	12/02/2023

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