Donizetti Razo, MSW
Individual provider Active NPI Social Worker · Hines, IL
NPI 1992273056 · NPPES record last updated Nov 7, 2018
Key facts
- NPI
- 1992273056
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 5000 S. Fifth Avenue
Building 228, Room 4078
Hines, IL 60141 - Phone
- (708) 202-4945
- Fax
- (708) 202-4954
- NPI assigned
- Nov 7, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
5000 S. Fifth Avenue
Building 228, Room 4078
Hines, IL 60141
Mailing address
5000 S. Fifth Avenue
Building 228, Room 4078
Hines, IL 60141
Phone (708) 202-4945
Other providers in Hines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.