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NPI Code Detail

MEDICARE: MRS. KAILYN NICOLE BELAWICH LCSW

MEDICARE:  MRS. KAILYN NICOLE BELAWICH  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 Worker149.024381

General Provider Information

NPI Number : 1851153514
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAILYN NICOLE BELAWICH LCSW
Provider Business Mailing Address
First Line : 1913 S STATE ST UNIT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60616-2923
Country : US
Telephone Number : 815-291-3346
Fax Number :
Provider Business Practice Location Address
First Line : 1913 S STATE ST UNIT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60616-2923
Country : US
Telephone Number : 815-291-3346
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2024
Last Update Date : 01/29/2024

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Directions to “ MRS. KAILYN NICOLE BELAWICH LCSW” Practice Location

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