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NPI Code Detail

MEDICARE: SAUL PEREZ OLGUIN LCSW

MEDICARE: SAUL PEREZ OLGUIN 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 Worker149.028032IL

General Provider Information

NPI Number : 1710611215
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAUL PEREZ OLGUIN LCSW
Provider Business Mailing Address
First Line : 1950 W POLK ST STE 8-76
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3723
Country : US
Telephone Number : 312-864-0457
Fax Number :
Provider Business Practice Location Address
First Line : 4800 W CHICAGO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60651-3226
Country : US
Telephone Number : 312-864-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2022
Last Update Date : 04/14/2026

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Directions to “ SAUL PEREZ OLGUIN LCSW” Practice Location

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