Mary Elizabeth Pettinelli in Chicago - Clinical

Mary Elizabeth Pettinelli - NPI 1932390663

Mary Elizabeth Pettinelli is a Clinical in Chicago, Illinois. Mary Elizabeth Pettinelli practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Elizabeth Pettinelli is 1932390663. The last update date is 2012-10-29.

Mary Elizabeth Pettinelli's current location address is 225 E Chicago Ave, Chicago, Illinois. You can contact this provider via phone number 3122276372. The mailing address for Mary Elizabeth Pettinelli is 225 E Chicago Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Elizabeth Pettinelli
Address 225 E Chicago Ave, Chicago, Illinois
Phone Number 3122276372
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1932390663
Provider Enumeration Date 2007-08-07
Last Updated Date 2012-10-29

Provider Mailing Address Detail

Address 225 E Chicago Ave
City Chicago
State Illinois (IL)
Post Code 606112991
Phone Number 3122276372
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 149009730
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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FAQs about Mary Elizabeth Pettinelli

What is the unique identifier code issued to Mary Elizabeth Pettinelli by the Centers for Medicare & Medicaid Services (CMS)?

The Mary Elizabeth Pettinelli has been assigned the NPI (National Provider Identifier) 1932390663. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Mary Elizabeth Pettinelli's facilities are situated?

The facilities of Mary Elizabeth Pettinelli are physically located at the following address: 225 E Chicago Ave, Chicago, IL, 606112991.

What is Mary Elizabeth Pettinelli's area of expertise and its corresponding taxonomy classification?

The Mary Elizabeth Pettinelli's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.

On what date did the Mary Elizabeth Pettinelli receive the assignment of its 1932390663 from the Centers for Medicare & Medicaid Services?

The Mary Elizabeth Pettinelli was issued its 1932390663 by the Centers for Medicare & Medicaid Services on 2007-08-07.

When was the Mary Elizabeth Pettinelli's information last updated?

The Mary Elizabeth Pettinelli's information was last updated on 2012-10-29.

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