DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. ROSERITA RYAN WALSH JAMES LCSW, MSW, MA

MEDICARE:  MS. ROSERITA RYAN WALSH JAMES  LCSW, MSW, MA
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
11041C0700XClinical Social Worker149021421IL

General Provider Information

NPI Number : 1932755519
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROSERITA RYAN WALSH JAMES LCSW, MSW, MA
Provider Business Mailing Address
First Line : 11359 S LOTHAIR AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60643-4133
Country : US
Telephone Number : 773-551-7673
Fax Number :
Provider Business Practice Location Address
First Line : 11359 S LOTHAIR AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60643-4133
Country : US
Telephone Number : 773-551-7673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2019
Last Update Date : 08/10/2019

Similar Medicare Providers

1669328464 — MIAO ZHANG BCBA
Practice Location Address:
2533 S ALBANY AVE
CHICAGO, IL
60623-4133
Practice Phone: 703-589-3009
Practice Fax:
1104004621 — BOBBY E WRIGHT COMPREHENSIVE BEHAVIORAL HEALTH CENTER INC.
Practice Location Address:
4133 W MADISON ST
CHICAGO, IL
60624-2304
Practice Phone: 773-722-7900
Practice Fax: 773-722-0644
1568690261 — HABILITATIVE SYSTEMS, INC.
Practice Location Address:
4133 W MADISON ST
CHICAGO, IL
60624
Practice Phone: 773-745-2610
Practice Fax: 773-854-8300
1154741353 — ELIZABETH NAVARRO
Practice Location Address:
4133 N TRIPP AVE
CHICAGO, IL
60641-2040
Practice Phone: 708-466-5499
Practice Fax:
1639735533 — RIANA VOIGT
Practice Location Address:
4133 N LAWNDALE AVE UNIT 1
CHICAGO, IL
60618-2006
Practice Phone: 310-995-5621
Practice Fax:
1164196994 — RUTH SHANNON
Practice Location Address:
7616 S MERRILL AVE
CHICAGO, IL
60649-4133
Practice Phone: 312-459-1372
Practice Fax: 866-808-3495

Directions to “ MS. ROSERITA RYAN WALSH JAMES LCSW, MSW, MA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.