MEDICARE: MR. STEVEN BRIAN UHRIK 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
1	1041C0700X	Clinical Social Worker	149001363	IL

General Provider Information

NPI Number	:	1881001725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN BRIAN UHRIK MSW

Provider Business Mailing Address
First Line	:	915 N YORK ST
Second Line	:	APT 601
City	:	ELMHURST
State	:	IL
Zip	:	60126-1232
Country	:	US
Telephone Number	:	630-632-3116
Fax Number	:

Provider Business Practice Location Address
First Line	:	1845 E RAND RD
Second Line	:	106
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-4356
Country	:	US
Telephone Number	:	630-632-3116
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2014
Last Update Date	:	07/11/2014

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