Diane Breslow is a Clinical in Chicago, Illinois. Diane Breslow practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diane Breslow is 1790750909. The last update date is 2009-06-23.
Diane Breslow's current location address is 680 N Lake Shore Dr, Chicago, Illinois. You can contact this provider via phone number 3126957950. The mailing address for Diane Breslow is 680 N Lake Shore Dr, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Breslow |
|---|---|
| Address | 680 N Lake Shore Dr, Chicago, Illinois |
| Phone Number | 3126957950 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1790750909 |
|---|---|
| Provider Enumeration Date | 2006-02-21 |
| Last Updated Date | 2009-06-23 |
Provider Mailing Address Detail
| Address | 680 N Lake Shore Dr |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606114546 |
| Phone Number | 3126957950 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149001010 |
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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 assigned to Diane Breslow by the Centers for Medicare & Medicaid Services?
The Diane Breslow has been issued the NPI (National Provider Identifier) 1790750909 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Diane Breslow's physical address?
The Diane Breslow is physically located at 680 N Lake Shore Dr, in the city of Chicago, IL, with the postal code 606114546.
What is Diane Breslow'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 Diane Breslow is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When was the Diane Breslow's 1790750909 issued?
The Diane Breslow's 1790750909 was issued on 2006-02-21.
When was the information pertaining to Diane Breslow most recently updated or revised?
The details related to Diane Breslow, including its address, specialty, and other relevant information, were last updated or revised on 2009-06-23.