Judith Mendels Peterso in Chicago - Clinical
Judith Mendels Peterso - NPI 1679666531
Judith Mendels Peterso is a Clinical in Chicago, Illinois. Judith Mendels Peterso practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith Mendels Peterso is 1679666531. The last update date is 2007-07-08.
Judith Mendels Peterso's current location address is 1415 W Henderson St, Chicago, Illinois. You can contact this provider via phone number 7738712828. The mailing address for Judith Mendels Peterso is 1415 W Henderson St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Mendels Peterso |
|---|---|
| Address | 1415 W Henderson St, Chicago, Illinois |
| Phone Number | 7738712828 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1679666531 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1415 W Henderson St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60657 |
| Phone Number | 7738712828 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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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Post Comment/ Review Below
What is the Judith Mendels Peterso's unique identification number?
The Judith Mendels Peterso has been assigned the NPI (National Provider Identifier) Number 1679666531 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Judith Mendels Peterso is physically located?
The Judith Mendels Peterso is physically situated at the following address: 1415 W Henderson St, Chicago, IL, 60657.
What is the Judith Mendels Peterso's area of specialization and corresponding taxonomy classification?
The Judith Mendels Peterso's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1679666531 to Judith Mendels Peterso?
The Judith Mendels Peterso received its 1679666531 assignment from the Centers for Medicare & Medicaid Services on 2006-10-02.
As of what date were the details related to Judith Mendels Peterso most recently updated or revised?
The information pertaining to Judith Mendels Peterso, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.