Individual
ELAINE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2656 W MONTROSE AVE FL 2, CHICAGO, IL 60618-1559
(314) 882-6903
Mailing address
1201 W CHASE AVE APT 1A, CHICAGO, IL 60626-2233
(314) 882-6903
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
149024006
IL
Other
Enumeration date
08/20/2021
Last updated
12/14/2021
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