Organization
CAROL PHILLIPS HAMILTON LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI J NEWMAN BA CPC (BILLING ADMINISTRATOR)
(708) 560-6653
Entity
Organization
Contact information
Practice address
53 W JACKSON BLVD STE 626, CHICAGO, IL 60604-3444
(773) 531-1529
Mailing address
2052 W OHIO ST, CHICAGO, IL 60612-1516
(773) 531-1529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/09/2019
Last updated
02/09/2019
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