Susan Linda O Dell is a Clinical in Chicago, Illinois. Susan Linda O Dell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Linda O Dell is 1457323529. The last update date is 2007-07-08.
Susan Linda O Dell's current location address is 1422 W Thome Ave, Chicago, Illinois. You can contact this provider via phone number 7732627010 and fax number 7733817889. The mailing address for Susan Linda O Dell is 1422 W Thome Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Linda O Dell |
|---|---|
| Address | 1422 W Thome Ave, Chicago, Illinois |
| Phone Number | 7732627010 |
| Fax Number | 7733817889 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1457323529 |
|---|---|
| Provider Enumeration Date | 2006-02-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1422 W Thome Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606601820 |
| Phone Number | 7732627010 |
| Fax Number | 7733817889 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149 000735 |
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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 |
|---|---|---|---|
| 1673585 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Susan Linda O Dell by the Centers for Medicare & Medicaid Services (CMS)?
The Susan Linda O Dell has been assigned the NPI (National Provider Identifier) 1457323529. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Susan Linda O Dell's facilities are geographically located?
The facilities of Susan Linda O Dell are physically situated at the following location: 1422 W Thome Ave, Chicago, IL, 606601820.
What is Susan Linda O Dell's area of expertise and its corresponding taxonomy classification?
The Susan Linda O Dell's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did the Susan Linda O Dell receive its 1457323529?
The Susan Linda O Dell was issued its 1457323529 on 2006-02-03, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Susan Linda O Dell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan Linda O Dell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.