MEDICARE: HOWARD GELB LCSW PLLC

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
1	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1073813002	OTHER		NPPES

General Provider Information

NPI Number	:	1871280099
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOWARD GELB LCSW PLLC

Provider Business Mailing Address
First Line	:	525 W HAWTHORNE PL APT 807
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-2902
Country	:	US
Telephone Number	:	773-248-1009
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 W BRIAR PL STE 5
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-4560
Country	:	US
Telephone Number	:	773-248-1009
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HOWARD M GELB
Credential	:	LCSW
Telephone Number	:	773-248-1009

Provider Enumeration Date	:	04/18/2023
Last Update Date	:	04/18/2023

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