Sergio Vinicio Grajeda in Oak Park - Clinical
Sergio Vinicio Grajeda - NPI 1689762734
Sergio Vinicio Grajeda is a Clinical in Oak Park, Illinois. Sergio Vinicio Grajeda practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sergio Vinicio Grajeda is 1689762734. The last update date is 2007-07-08.
Sergio Vinicio Grajeda's current location address is 715 Lake St Ste 800, Oak Park, Illinois. You can contact this provider via phone number 7088488145 and fax number 7088486176. The mailing address for Sergio Vinicio Grajeda is 715 Lake St Ste 800, Oak Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sergio Vinicio Grajeda |
|---|---|
| Address | 715 Lake St Ste 800, Oak Park, Illinois |
| Phone Number | 7088488145 |
| Fax Number | 7088486176 |
| Sole Proprietor | Y |
| Credentials | LCSW, PH.D |
NPI Number Detail
| NPI Number | 1689762734 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 715 Lake St Ste 800 |
|---|---|
| City | Oak Park |
| State | Illinois (IL) |
| Post Code | 603011417 |
| Phone Number | 7088488145 |
| Fax Number | 7088486176 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.0072232 |
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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 10-digit identifier code issued to Sergio Vinicio Grajeda by the Centers for Medicare & Medicaid Services?
The Sergio Vinicio Grajeda has been assigned the NPI (National Provider Identifier) 1689762734 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Sergio Vinicio Grajeda?
The Sergio Vinicio Grajeda is situated at 715 Lake St Ste 800, in the city of Oak Park, state of IL, with the zip code 603011417.
What is the Sergio Vinicio Grajeda's specialty and taxonomy code?
The Sergio Vinicio Grajeda's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Sergio Vinicio Grajeda receive its 1689762734 assignment from the Centers for Medicare & Medicaid Services?
The Sergio Vinicio Grajeda was assigned its 1689762734 by the Centers for Medicare & Medicaid Services on 2006-10-11.
As of what date were the Sergio Vinicio Grajeda's details last updated?
The information pertaining to the Sergio Vinicio Grajeda, including its address, specialty, and other details, was most recently updated on 2007-07-08.