Clare J Charles is a Clinical in Chicago, Illinois. Clare J Charles practices all healthcare services and medical treatments related to Clinical. The NPI Number for Clare J Charles is 1508938929. The last update date is 2007-07-08.
Clare J Charles's current location address is 2034 N Burling St, Chicago, Illinois. You can contact this provider via phone number 3129438790. The mailing address for Clare J Charles is 2034 N Burling St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clare J Charles |
|---|---|
| Address | 2034 N Burling St, Chicago, Illinois |
| Phone Number | 3129438790 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1508938929 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2034 N Burling St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606144412 |
| Phone Number | 3129438790 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149002964 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1632980 | IL | BLUR CROSS PROVIDER # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Clare J Charles?
The Clare J Charles has been issued the NPI (National Provider Identifier) 1508938929 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Clare J Charles is physically located?
The Clare J Charles is physically situated at the following address: 2034 N Burling St, Chicago, IL, 606144412.
What is Clare J Charles's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Clare J Charles is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When was the Clare J Charles's 1508938929 issued?
The Clare J Charles's 1508938929 was issued on 2006-11-14.
When was the information regarding Clare J Charles most recently updated?
The details pertaining to the Clare J Charles, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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