Most Relevant Information
Provider Data
| NPI Number: | 1003179292 |
| Provider Name: | ELIVERTA BARJAMAJ MSW, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149.015513 |
Most Important Dates
| Enumeration Date: | 06/21/2012 |
| Last Updated: | 10/15/2012 |
Provider Practice Location
912 S WOOD ST
ROOM 743
CHICAGO
IL
606124300
Practice Location Phone/Fax
| Phone: | 3123554901 |
| Fax: |
Provider Mailing Location
912 S WOOD ST
ROOM 743
CHICAGO
IL
606124300
Provider Mailing Phone/Fax
| Phone: | 3123554901 |
| Fax: |