Benjamin Fogel, LCSW
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1801200076
StatusActive
Last updated in NPPESFeb 4, 2019
Details
- NPI
- 1801200076
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Fogel
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 16, 2014
- Last updated
- Feb 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.015487 | IL | Yes |
Practice location
53 W Jackson BlvdSte 841
Chicago, IL 60604-3828
Phone 312-478-3999
Mailing address
2443 N Sawyer AveApt 1s
Chicago, IL 60647-2517
Phone 312-478-3999
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