Dimitria Vandarakis in Downers Grove - Clinical
Dimitria Vandarakis - NPI 1871767806
Dimitria Vandarakis is a Clinical in Downers Grove, Illinois. Dimitria Vandarakis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dimitria Vandarakis is 1871767806. The last update date is 2012-03-14.
Dimitria Vandarakis's current location address is 5120 Main St, Downers Grove, Illinois. You can contact this provider via phone number 6308909895 and fax number 6306206194. The mailing address for Dimitria Vandarakis is 5120 Main St, Downers Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dimitria Vandarakis |
|---|---|
| Address | 5120 Main St, Downers Grove, Illinois |
| Phone Number | 6308909895 |
| Fax Number | 6306206194 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1871767806 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2012-03-14 |
Provider Mailing Address Detail
| Address | 5120 Main St |
|---|---|
| City | Downers Grove |
| State | Illinois (IL) |
| Post Code | 60515 |
| Phone Number | 6308909895 |
| Fax Number | 6306206194 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149012634 |
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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 issued to Dimitria Vandarakis by the Centers for Medicare & Medicaid Services?
The Dimitria Vandarakis has been assigned the NPI (National Provider Identifier) 1871767806 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Dimitria Vandarakis is physically located?
The Dimitria Vandarakis is situated at the following address: 5120 Main St, Downers Grove, IL 60515.
What is the Dimitria Vandarakis's area of specialization and corresponding taxonomy classification?
The Dimitria Vandarakis's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When was the Dimitria Vandarakis's 1871767806 issued?
The Dimitria Vandarakis's 1871767806 was issued on 2008-04-22.
When was the information regarding Dimitria Vandarakis most recently updated?
The details pertaining to the Dimitria Vandarakis, including its address, specialty, and other relevant information, were last refreshed on 2012-03-14.
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