William Lacy Jr, is a
Marriage & Family Therapist based in Kankakee, Illinois. William Lacy Jr is licensed to practice in Illinois (license number 208000719) and his current practice location is
187 S Schuyler Ave Ste 555, Kankakee, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 304-4726.
NPI number for William Lacy Jr is 1164079026 and his current mailing address is 187 S Schuyler Ave Ste 555, Kankakee, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164079026.
Healthcare Provider's Profile
Full Name | William Lacy Jr |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 187 S Schuyler Ave Ste 555, Kankakee, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164079026
- Provider Enumeration Date: 08/24/2019
- Last Update Date: 09/03/2019
Medical Identifiers
Medical identifiers for William Lacy Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164079026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 208000719 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. William Lacy Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
William Lacy Jr, 187 S Schuyler Ave Ste 555, Kankakee, IL 60901-3825 Ph: (815) 304-4726 | William Lacy Jr, 187 S Schuyler Ave Ste 555, Kankakee, IL 60901-3825 Ph: (815) 304-4726 |
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