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NPI Code Detail

MEDICARE: LINDA HADLOCK LCSW

MEDICARE: LINDA HADLOCK 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 Worker149.025769IL

General Provider Information

NPI Number : 1740042357
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA HADLOCK LCSW
Provider Business Mailing Address
First Line : 1309 MULBERRY LN
Second Line :
City : CARY
State : IL
Zip : 60013-1854
Country : US
Telephone Number : 815-355-6981
Fax Number :
Provider Business Practice Location Address
First Line : 500 COVENTRY LN STE 130
Second Line :
City : CRYSTAL LAKE
State : IL
Zip : 60014-7578
Country : US
Telephone Number : 815-998-8674
Fax Number : 815-205-4083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2024
Last Update Date : 12/04/2024

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