Paul J Detaege (NPI# 1598887580, PAC ID# 8921033531) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1598887580 |
| PAC ID by PECOS | 8921033531 |
| Professional Enrollment ID | I20051003000624 |
| Full Name | Paul J Detaege |
| Address |
5215 N Ravenswood Ave Suite 314 Chicago IL 60640-1668 |
| Phone Number | 7739884965 |
| Gender | M |
| Credential | CSW |
| Graduation Year | 1996 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5215 N Ravenswood Ave, Suite 314, Chicago, IL 60640-1668 | 7739884965 |
| Street Address |
5215 N RAVENSWOOD AVE SUITE 314 |
| City | CHICAGO |
| State | IL |
| Zip | 60640-1668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Serena M Pesch | Clinical Social Worker | 5215 N Ravenswood Ave, Suite 210, Chicago, IL 60640-1670 | |
| Todd Christian Renn | Chiropractic | 5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1670 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elaine A Sachnoff | Psychologist, Clinical | 4840 N Marine Dr, Chicago, IL 60640-1067 | |
| Stacey L Knowles | Physical Therapy | 1830 W Foster Ave, Suite Cw, Chicago, IL 60640-1087 | |
| Carolyn A Mildner | Psychologist, Clinical | 1645 W Gregory St, Chicago, IL 60640-1161 | |
| Ridhi Patel | Optometry | Myeyedr Optometry of Illinois LLC | 5408 N Clark St, Chicago, IL 60640-1210 |
| Scott Michael Amoruso | Optometry | Myeyedr Optometry of Illinois LLC | 5408 N Clark St, Chicago, IL 60640-1210 |
| Ellen R Kozob | Optometry | Myeyedr. Optometry of Illinois, LLC | 5408 N Clark St, Chicago, IL 60640-1210 |
| Stacie M Hauenstein | Physical Therapy | Athletico Ltd | 5545 N Clark St, Chicago, IL 60640-1222 |
| Ing Swenson | Clinical Social Worker | Chicago Mindful Psychotherapy, Inc. | 5537 N Clark St, Suite 1, Chicago, IL 60640-1222 |
| Stephen J Hooley | Physical Therapy | Athletico Ltd | 5545 N Clark St, Chicago, IL 60640-1222 |
| Oliver N Beirne | Physical Therapy | Athletico Ltd | 5545 N Clark St, Chicago, IL 60640-1222 |
| Find all physicians in zip 60640 | |||
| City | CHICAGO |
| Zip Code | 60640 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | CHICAGO + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Paul J Detaege.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.