Gregg Steven Kitzis in Oak Park - Clinical
Gregg Steven Kitzis - NPI 1558373191
Gregg Steven Kitzis is a Clinical in Oak Park, Illinois. Gregg Steven Kitzis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gregg Steven Kitzis is 1558373191. The last update date is 2007-07-08.
Gregg Steven Kitzis's current location address is 1027 Hayes Ave, Oak Park, Illinois. You can contact this provider via phone number 7083862578. The mailing address for Gregg Steven Kitzis is 1027 Hayes Ave, Oak Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregg Steven Kitzis |
|---|---|
| Address | 1027 Hayes Ave, Oak Park, Illinois |
| Phone Number | 7083862578 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1558373191 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1027 Hayes Ave |
|---|---|
| City | Oak Park |
| State | Illinois (IL) |
| Post Code | 603021413 |
| Phone Number | 7083862578 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.000541 |
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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 identification code issued to Gregg Steven Kitzis by the Centers for Medicare & Medicaid Services?
The Gregg Steven Kitzis has been assigned the NPI (National Provider Identifier) 1558373191 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Gregg Steven Kitzis's facilities are geographically located?
The facilities of Gregg Steven Kitzis are physically situated at the following location: 1027 Hayes Ave, Oak Park, IL, 603021413.
What is Gregg Steven Kitzis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gregg Steven Kitzis is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1558373191 to Gregg Steven Kitzis?
The Centers for Medicare & Medicaid Services originally issued the 1558373191 to Gregg Steven Kitzis on 2006-08-12.
As of what date were the Gregg Steven Kitzis's details last updated?
The information pertaining to the Gregg Steven Kitzis, including its address, specialty, and other details, was most recently updated on 2007-07-08.