| Mary Lynn Meyers, Lcsw, Inc. | |
|
1167 Wilmette Ave Suite 207 Wilmette IL 60091-2643 | |
| (847) 818-6066 | |
| Not Available |
| Full Name | Mary Lynn Meyers, Lcsw, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1167 Wilmette Ave, Wilmette, Illinois |
| Authorized Official Name and Position | Mary Lynn Meyers (OWNER/PRESIDENT) |
| Authorized Official Contact | 8478286066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Lynn Meyers, Lcsw, Inc. 1167 Wilmette Ave Suite 207 Wilmette IL 60091-2643 Ph: (847) 818-6066 | Mary Lynn Meyers, Lcsw, Inc. 1167 Wilmette Ave Suite 207 Wilmette IL 60091-2643 Ph: (847) 818-6066 |
| NPI Number | 1972969830 |
|---|---|
| Provider Enumeration Date | 01/07/2016 |
| Last Update Date | 01/07/2016 |
| Medicare PECOS PAC ID | 9931404472 |
|---|---|
| Medicare Enrollment ID | O20160222002261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972969830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149.014424 (Illinois) | Primary |
| Provider Name | Mary Lynn Meyers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609097146 PECOS PAC ID: 8729245436 Enrollment ID: I20120208000690 |
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