MEDICARE: ALLYSON HAYLEY MARCUS 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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1629956578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSON HAYLEY MARCUS LSW

Provider Business Mailing Address
First Line	:	2060 E ALGONQUIN RD STE 702
Second Line	:
City	:	SCHAUMBURG
State	:	IL
Zip	:	60173-4162
Country	:	US
Telephone Number	:	847-701-4191
Fax Number	:	847-834-4981

Provider Business Practice Location Address
First Line	:	180 N MICHIGAN AVE STE 1025B
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-7999
Country	:	US
Telephone Number	:	847-701-4191
Fax Number	:	847-834-4981

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2025
Last Update Date	:	09/16/2025

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