Jerry T Souta Jr Jr. (NPI# 1831259829, PAC ID# 6608777503) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1831259829 |
| PAC ID by PECOS | 6608777503 |
| Professional Enrollment ID | I20040114000661 |
| Full Name | Jerry T Souta Jr Jr. |
| Organization Legal Name | CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO |
| Address |
2601 W Marquette Rd Chicago IL 60629-1817 |
| Phone Number | 3126557167 |
| Gender | M |
| Credential | CSW |
| Graduation Year | 2000 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 3678668795 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2601 W Marquette Rd, Chicago, IL 60629-1817 | 3126557167 | CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO |
| Organization Legal Name | CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary A Myers | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 1800 N Hermitage Ave, Chicago, IL 60622-1161 |
| Margaret R Millar | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 671 S Lewis Ave, Waukegan, IL 60085-6101 |
| Julie Y Palumbo | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 998 E Maple St, Mundelein, IL 60060 |
| Charles Rubey | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 721 N La Salle Dr, Chicago, IL 60654-3503 |
| Aaron Lew | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 730 N Wabash Ave, Chicago, IL 60611-2514 |
| Patricia Broderick | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 1400 S Austin Blvd, Cicero, IL 60804-1003 |
| Richard J Jakubik | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 1717 Rand Rd, Des Plaines, IL 60016-3509 |
| Deborah Major | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 721 N La Salle Dr, Chicago, IL 60654-3503 |
| Juanita Uribe | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 1400 S Austin Blvd, Cicero, IL 60804-1003 |
| Adriana Carmona | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 1400 S Austin Blvd, Cicero, IL 60804-1003 |
| Street Address |
2601 W MARQUETTE RD |
| City | CHICAGO |
| State | IL |
| Zip | 60629-1817 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Veronica Lopez | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 2601 W Marquette Rd, Chicago, IL 60629-1817 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alemayehu Bekele | General Surgery | 2701 68th St, Chicago, IL 60629-1813 | |
| Joy B West | Obstetrics/gynecology | Mount Sinai Community Foundation | 2701 W 68th St, Chicago, IL 60629-1813 |
| Shri Krishna Agrawal | Rheumatology | 2701 W 68th St 2 S Pavilion, Chicago, IL 60629-1813 | |
| Eli Bader | Psychiatry | Mount Sinai Community Foundation | 2701 W 68th St, Chicago, IL 60629-1813 |
| Laura Michelle Garcia | Nurse Practitioner | Cepamerica Illinois LLP | 2701 W 68th St, Chicago, IL 60629-1813 |
| Michelle Kethcart | Nurse Practitioner | Mount Sinai Community Foundation | 2701 W 68th St, Chicago, IL 60629-1813 |
| Rachel H Mcdowell | Emergency Medicine | Cepamerica Illinois LLP | 2701 W 68th St, Chicago, IL 60629-1813 |
| Lillian R De Leon | Internal Medicine | 2701 W 68th St, Fl 3, Chicago, IL 60629-1813 | |
| Andrew J Gause | Certified Registered Nurse Anesthetist (crna) | Mount Sinai Community Foundation | 2701 W 68th St, Chicago, IL 60629-1813 |
| Alfred L Allen | Internal Medicine | 2701 W 68th St, Chicago, IL 60629-1813 | |
| Find all physicians in zip 60629 | |||
| City | CHICAGO |
| Zip Code | 60629 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | CHICAGO + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jerry T Souta Jr Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.