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NPI Code Detail

MEDICARE: JACOB MCGRATH LSW

MEDICARE: JACOB MCGRATH 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 Worker150115337IL

General Provider Information

NPI Number : 1881552768
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB MCGRATH LSW
Provider Business Mailing Address
First Line : 2824 N AVERS AVE APT 1
Second Line :
City : CHICAGO
State : IL
Zip : 60618-9371
Country : US
Telephone Number : 630-544-0937
Fax Number :
Provider Business Practice Location Address
First Line : 1811 W NORTH AVE STE 402
Second Line :
City : CHICAGO
State : IL
Zip : 60622-0204
Country : US
Telephone Number : 312-819-7381
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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