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NPI Code Detail

MEDICARE: LAYLA BYRNES LSW

MEDICARE: LAYLA BYRNES LSW
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
1104100000XSocial Worker150.104318IL

General Provider Information

NPI Number : 1225661283
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAYLA BYRNES LSW
Provider Business Mailing Address
First Line : 5502 W LAWRENCE AVE APT 201
Second Line :
City : CHICAGO
State : IL
Zip : 60630-3459
Country : US
Telephone Number : 773-420-7228
Fax Number :
Provider Business Practice Location Address
First Line : 480 N MCCLURG CT APT 513
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5337
Country : US
Telephone Number : 612-759-1154
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2020
Last Update Date : 03/13/2024

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Directions to “ LAYLA BYRNES LSW ” Practice Location

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