Eusebio Enrique Camacho Medina, MSW, LSW MASTERS

Clinical Social Worker · Des Plaines, IL

Individual Active NPI

NPI number 1437529625

Practice location

2720 S River Rd Ste 246
Des Plaines, IL 60018-4111
Phone
(219) 766-4700

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NPI record

NPI
1437529625
Entity type
Individual (Type 1)
Enumeration date
September 30, 2015
Last updated
January 29, 2024
Certified
January 29, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 150105643 IL

Mailing address

550 S Hancock St
Gary, IN 46403-2403
Phone
(219) 689-6125

Other practice locations (1)

  • 550 S Hancock St, Gary, IN 46403-2403 · (219) 766-4700

About Eusebio Camacho Medina

Eusebio Enrique Camacho Medina, MSW, LSW MASTERS is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 2720 S River Rd Ste 246, Des Plaines, IL 60018-4111. The NPI number 1437529625 was assigned on September 30, 2015 and the record was last updated on January 29, 2024.

Eusebio Camacho Medina lists a license in the registry: #150105643 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eusebio Enrique Camacho Medina, MSW, LSW MASTERS?

The NPI number is 1437529625.

What is the phone number of Eusebio Camacho Medina?

The phone number listed for the practice location is (219) 766-4700.

Where is Eusebio Camacho Medina located?

2720 S River Rd Ste 246, Des Plaines, IL 60018-4111.

What is the taxonomy code for Eusebio Camacho Medina?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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