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NPI Code Detail

MEDICARE: GEORGINA CANO MSW

MEDICARE: GEORGINA CANO 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
1104100000XSocial Worker
21041C0700XClinical Social Worker149020060IL

General Provider Information

NPI Number : 1922413418
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGINA CANO MSW
Provider Business Mailing Address
First Line : 1041 S OAKLEY BLVD BSMT B
Second Line :
City : CHICAGO
State : IL
Zip : 60612-4335
Country : US
Telephone Number : 847-899-6625
Fax Number :
Provider Business Practice Location Address
First Line : 1817 S LOOMIS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60608-3018
Country : US
Telephone Number : 312-666-6511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2014
Last Update Date : 05/09/2024

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Directions to “ GEORGINA CANO MSW” Practice Location

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