ALEXANDER CHACKO, LCSW, MS, PHD
Social Worker - Clinical
Active
Individual
NPI: 1417901620
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | IL149009399 (IL) |
Frequently Asked Questions
NPI 1417901620 is the National Provider Identifier for ALEXANDER CHACKO, LCSW, MS, PHD, a Social Worker - Clinical provider located in Morton, IL. This NPI was enumerated on May 20, 2006.
ALEXANDER CHACKO, LCSW, MS, PHD practices at 104 E QUEENWOOD RD, SUITE 203, Morton, IL 61550.
Quick Facts
- NPI
- 1417901620
- Type
- Individual
- Enumerated
- May 20, 2006
- Last Updated
- Jul 8, 2007
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