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NPI Code Detail

MEDICARE: ZEREK MAYES MSW, LCSW

MEDICARE:   ZEREK  MAYES  MSW, 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
1101Y00000XCounselor
21041C0700XClinical Social Worker149024349IL

General Provider Information

NPI Number : 1104104223
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZEREK MAYES MSW, LCSW
Provider Business Mailing Address
First Line : 20015 S LAGRANGE RD # 1034
Second Line :
City : FRANKFORT
State : IL
Zip : 60423-3104
Country : US
Telephone Number : 779-216-5681
Fax Number :
Provider Business Practice Location Address
First Line : 7652 BRITTANY CT
Second Line :
City : FRANKFORT
State : IL
Zip : 60423-2145
Country : US
Telephone Number : 779-216-5681
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2011
Last Update Date : 04/28/2023

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Directions to “ ZEREK MAYES MSW, LCSW” Practice Location

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