| Smcclure Lcsw Llc | |
|
25 E Washington St Ste 1406 Chicago IL 60602-1820 | |
| (773) 655-9983 | |
| Not Available |
| Full Name | Smcclure Lcsw Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 25 E Washington St Ste 1406, Chicago, Illinois |
| Authorized Official Name and Position | Suzanne Feig Mcclure (MANAGING MEMBER) |
| Authorized Official Contact | 7736559983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smcclure Lcsw Llc 25 E Washington St Ste 1406 Chicago IL 60602-1820 Ph: (773) 655-9983 | Smcclure Lcsw Llc 25 E Washington St Ste 1406 Chicago IL 60602-1820 Ph: (773) 655-9983 |
| NPI Number | 1881230860 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 11/25/2019 |
| Medicare PECOS PAC ID | 9234565557 |
|---|---|
| Medicare Enrollment ID | O20200205001585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881230860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Suzanne F Mcclure |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386769933 PECOS PAC ID: 5496721086 Enrollment ID: I20040903001237 |
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