Terri Fry Brukhartz in Oak Park - Clinical
Terri Fry Brukhartz - NPI 1104081108
Terri Fry Brukhartz is a Clinical in Oak Park, Illinois. Terri Fry Brukhartz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Terri Fry Brukhartz is 1104081108. The last update date is 2008-07-20.
Terri Fry Brukhartz's current location address is 928 N Grove Ave, Oak Park, Illinois. You can contact this provider via phone number 7083860500. The mailing address for Terri Fry Brukhartz is 928 N Grove Ave, Oak Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terri Fry Brukhartz |
|---|---|
| Address | 928 N Grove Ave, Oak Park, Illinois |
| Phone Number | 7083860500 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1104081108 |
|---|---|
| Provider Enumeration Date | 2008-07-20 |
| Last Updated Date | 2008-07-20 |
Provider Mailing Address Detail
| Address | 928 N Grove Ave |
|---|---|
| City | Oak Park |
| State | Illinois (IL) |
| Post Code | 603021342 |
| Phone Number | 7083860500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149-008928 |
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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 identifier code issued to Terri Fry Brukhartz by the Centers for Medicare & Medicaid Services?
The Terri Fry Brukhartz has been assigned the NPI (National Provider Identifier) 1104081108. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Terri Fry Brukhartz's physical address?
The Terri Fry Brukhartz is physically located at 928 N Grove Ave, in the city of Oak Park, IL, with the postal code 603021342.
What is Terri Fry Brukhartz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Terri Fry Brukhartz is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date was the 1104081108 assigned to Terri Fry Brukhartz?
The Terri Fry Brukhartz was issued its 1104081108 on 2008-07-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Terri Fry Brukhartz's information last updated?
The Terri Fry Brukhartz's information was last updated on 2008-07-20.
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