Alexander Chacko is a Clinical in Morton, Illinois. Alexander Chacko practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alexander Chacko is 1417901620. The last update date is 2007-07-08.
Alexander Chacko's current location address is 104 E Queenwood Rd, Morton, Illinois. You can contact this provider via phone number 3092634244. The mailing address for Alexander Chacko is 104 E Queenwood Rd, Morton, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Alexander Chacko |
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Address | 104 E Queenwood Rd, Morton, Illinois |
Phone Number | 3092634244 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LCSW, MS, |
NPI Number Detail
NPI Number | 1417901620 |
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Provider Enumeration Date | 2006-05-20 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 104 E Queenwood Rd |
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City | Morton |
State | Illinois (IL) |
Post Code | 615502949 |
Phone Number | 3092634244 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | IL149009399 |
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 identification code assigned to Alexander Chacko by the Centers for Medicare & Medicaid Services?
The Alexander Chacko has been issued the NPI (National Provider Identifier) 1417901620. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Alexander Chacko's facilities are geographically located?
The facilities of Alexander Chacko are physically situated at the following location: 104 E Queenwood Rd, Morton, IL, 615502949.
What is Alexander Chacko's area of expertise and its corresponding taxonomy classification?
The Alexander Chacko'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 Alexander Chacko receive its 1417901620 assignment from the Centers for Medicare & Medicaid Services?
The Alexander Chacko was assigned its 1417901620 by the Centers for Medicare & Medicaid Services on 2006-05-20.
When was the information pertaining to Alexander Chacko most recently updated or revised?
The details related to Alexander Chacko, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.