Maxwell Klug
Social Worker in Chicago, IL. Individual provider (NPI-1).
NPI number1447928080
StatusActive
Last updated in NPPESJan 14, 2022
Details
- NPI
- 1447928080
- Entity type
- Individual (NPI-1)
- Name
- Mr. Maxwell Klug
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2021
- Certification date
- Jan 14, 2022
- Last updated
- Jan 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
212 S Francisco AveChicago, IL 60612-3618
Phone 773-243-7574
Mailing address
212 S Francisco AveChicago, IL 60612-3618
Phone 773-243-7574
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