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NPI Code Detail

MEDICARE: CAPRI DANIELE IZZO LCSW

MEDICARE:   CAPRI DANIELE IZZO  LCSW
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 Worker150.104924IL

General Provider Information

NPI Number : 1962078154
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAPRI DANIELE IZZO LCSW
Provider Business Mailing Address
First Line : 155 N MICHIGAN AVE STE 450
Second Line :
City : CHICAGO
State : IL
Zip : 60601-7939
Country : US
Telephone Number : 872-395-8091
Fax Number :
Provider Business Practice Location Address
First Line : 155 N MICHIGAN AVE STE 450
Second Line :
City : CHICAGO
State : IL
Zip : 60601-7939
Country : US
Telephone Number : 872-395-8091
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2021
Last Update Date : 06/28/2024

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Directions to “ CAPRI DANIELE IZZO LCSW” Practice Location

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