MEDICARE: COURTNEY REMACLE LCSW

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	1041C0700X	Clinical Social Worker	11068-C	NV
2	1041C0700X	Clinical Social Worker	149.025150	IL

General Provider Information

NPI Number	:	1972265924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY REMACLE LCSW

Provider Business Mailing Address
First Line	:	213 W INSTITUTE PL STE 500
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610-8792
Country	:	US
Telephone Number	:	312-715-7923
Fax Number	:

Provider Business Practice Location Address
First Line	:	213 W INSTITUTE PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610-3121
Country	:	US
Telephone Number	:	312-715-7923
Fax Number	:

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

Provider Enumeration Date	:	10/07/2021
Last Update Date	:	05/14/2026

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Directions to “ COURTNEY REMACLE LCSW” Practice Location

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