Ilysa Carrie Grossman in Berwyn - Clinical
Ilysa Carrie Grossman - NPI 1568543759
Ilysa Carrie Grossman is a Clinical in Berwyn, Illinois. Ilysa Carrie Grossman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ilysa Carrie Grossman is 1568543759. The last update date is 2007-07-08.
Ilysa Carrie Grossman's current location address is 6918 Windsor Ave, Berwyn, Illinois. You can contact this provider via phone number 7087954800. The mailing address for Ilysa Carrie Grossman is 6918 Windsor Ave, Berwyn, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ilysa Carrie Grossman |
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Address | 6918 Windsor Ave, Berwyn, Illinois |
Phone Number | 7087954800 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1568543759 |
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Provider Enumeration Date | 2006-10-17 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 6918 Windsor Ave |
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City | Berwyn |
State | Illinois (IL) |
Post Code | 60402 |
Phone Number | 7087954800 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Ilysa Carrie Grossman by the Centers for Medicare & Medicaid Services?
The Ilysa Carrie Grossman has been assigned the NPI (National Provider Identifier) 1568543759. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ilysa Carrie Grossman?
The Ilysa Carrie Grossman is situated at 6918 Windsor Ave, in the city of Berwyn, state of IL, with the zip code 60402.
What is Ilysa Carrie Grossman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ilysa Carrie Grossman is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did Ilysa Carrie Grossman receive its 1568543759 assignment?
The Ilysa Carrie Grossman was assigned its 1568543759 on 2006-10-17, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Ilysa Carrie Grossman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ilysa Carrie Grossman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.