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NPI Code Detail

MEDICARE: DAMOYNE MARIE MCCOY

MEDICARE: DAMOYNE MARIE MCCOY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1023972098
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAMOYNE MARIE MCCOY
Provider Business Mailing Address
First Line : 2118 WARREN ST
Second Line :
City : EVANSTON
State : IL
Zip : 60202-1954
Country : US
Telephone Number : 312-522-2092
Fax Number : 312-522-2092
Provider Business Practice Location Address
First Line : 332 S MICHIGAN AVE STE 900
Second Line :
City : CHICAGO
State : IL
Zip : 60604-4393
Country : US
Telephone Number : 813-395-1073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ DAMOYNE MARIE MCCOY ” Practice Location

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