Individual
CATHERINE BOGACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 W PETERSON AVE, SUITE 308, CHICAGO, IL 60646-5713
(773) 968-9691
Mailing address
4967 N AUSTIN AVE, CHICAGO, IL 60630-1918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.011986
IL
Other
Enumeration date
08/25/2016
Last updated
09/20/2016
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