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NPI Code Detail

MEDICARE: RADINA CHELEVA MSW

MEDICARE:   RADINA  CHELEVA  MSW
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 Worker150105739IL

General Provider Information

NPI Number : 1831833292
Entity Type Code : Individual
Provider Name (Legal Business Name) : RADINA CHELEVA MSW
Provider Business Mailing Address
First Line : 5606 TINDER
Second Line :
City : ROLLING MEADOWS
State : IL
Zip : 60008-4135
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2135 W ROSCOE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60618-6275
Country : US
Telephone Number : 312-219-4459
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2022
Last Update Date : 08/03/2023

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