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NPI Code Detail

MEDICARE: MRS. MONICA MORRIS SCHWARTZ LCSW

MEDICARE: MRS. MONICA MORRIS SCHWARTZ 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
1104100000XSocial WorkerIL

General Provider Information

NPI Number : 1689773111
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MONICA MORRIS SCHWARTZ LCSW
Provider Business Mailing Address
First Line : 5519 SOUTH KIMBARK AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60637
Country : US
Telephone Number : 773-363-5559
Fax Number : 773-363-5565
Provider Business Practice Location Address
First Line : PILLARS FILLMORE CENTER 6918 WINDSOR AVE BERWYN IL 6040
Second Line :
City : BERWYN
State : IL
Zip : 60402
Country : US
Telephone Number : 708-795-4800
Fax Number : 708-795-4834
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 07/08/2007

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