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NPI Code Detail

MEDICARE: LAUREL MENG

MEDICARE: LAUREL MENG
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 Worker150104014IL

General Provider Information

NPI Number : 1790327906
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREL MENG
Provider Business Mailing Address
First Line : 2415 S NORMAL AVE UNIT F
Second Line :
City : CHICAGO
State : IL
Zip : 60616-1891
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3046 W ARMITAGE AVE APT 1
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5935
Country : US
Telephone Number : 908-240-0558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2019
Last Update Date : 10/09/2019

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Directions to “ LAUREL MENG ” Practice Location

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