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NPI Code Detail

MEDICARE: JACOB STONE MSW, LSW

MEDICARE: JACOB STONE MSW, LSW
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 Worker

General Provider Information

NPI Number : 1861183113
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB STONE MSW, LSW
Provider Business Mailing Address
First Line : 1 N LA SALLE ST STE 1450
Second Line :
City : CHICAGO
State : IL
Zip : 60602-4351
Country : US
Telephone Number : 312-578-9990
Fax Number : 312-275-7663
Provider Business Practice Location Address
First Line : 1 N LA SALLE ST STE 1450
Second Line :
City : CHICAGO
State : IL
Zip : 60602-4351
Country : US
Telephone Number : 312-578-9990
Fax Number : 312-275-7663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2023
Last Update Date : 02/05/2026

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