| Carol Phillips Hamilton Lcsw Pc | |
|
53 W Jackson Blvd Ste 626 Chicago IL 60604-3444 | |
| (773) 531-1529 | |
| Not Available |
| Full Name | Carol Phillips Hamilton Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 53 W Jackson Blvd Ste 626, Chicago, Illinois |
| Authorized Official Name and Position | Lori J Newman (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 7085606653 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Phillips Hamilton Lcsw Pc 2052 W Ohio St Chicago IL 60612-1516 Ph: (773) 531-1529 | Carol Phillips Hamilton Lcsw Pc 53 W Jackson Blvd Ste 626 Chicago IL 60604-3444 Ph: (773) 531-1529 |
| NPI Number | 1508321985 |
|---|---|
| Provider Enumeration Date | 02/09/2019 |
| Last Update Date | 02/09/2019 |
| Medicare PECOS PAC ID | 2567795008 |
|---|---|
| Medicare Enrollment ID | O20190614001282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508321985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carol P Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124330378 PECOS PAC ID: 9032342787 Enrollment ID: I20140502001029 |
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