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Search › Illinois › 1041C0700X

Jill Brantz, LCSW

NPI 1174217848 · on the registry since 2023

Practice

Address
1901 W Carroll Ave Ste 205
Chicago, IL 60612
Phone
(773) 292-4058
Fax
(773) 278-5663
Organisation at this address
Kaleidoscope Inc.
Kaleidoscope Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois