Individual
ARIEL BERNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
570 E 115TH ST, CHICAGO, IL 60628-5740
(773) 768-5000
Mailing address
570 E 115TH ST, CHICAGO, IL 60628-5740
(773) 768-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149.018734
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.018734
LCSW
IL
Enumeration date
02/08/2017
Last updated
03/15/2017
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