Alexander Chacko, LCSW, MS, PHD

NPI #1417901620 in Morton, Illinois

Provider Information

NPI Number: 1417901620
Entity Type: Individual
Name: Alexander Chacko, LCSW, MS, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW, MS, PHD
Enumeration Date: May 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 104 E QUEENWOOD RD
Address 2: SUITE 203
City: Morton
State: Illinois
ZIP Code: 61550-2949
Phone: (309) 263-4244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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