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NPI Code Detail

MEDICARE: KELLI MAUREEN MCLAURIN

MEDICARE: KELLI MAUREEN MCLAURIN
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 Worker150108800IL
21041C0700XClinical Social Worker149031359IL

General Provider Information

NPI Number : 1164377933
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLI MAUREEN MCLAURIN
Provider Business Mailing Address
First Line : 222 E WILLOW AVE
Second Line :
City : WHEATON
State : IL
Zip : 60187-5426
Country : US
Telephone Number : 773-919-3299
Fax Number :
Provider Business Practice Location Address
First Line : 222 E WILLOW AVE
Second Line :
City : WHEATON
State : IL
Zip : 60187-5426
Country : US
Telephone Number : 773-919-3299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2026
Last Update Date : 03/04/2026

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Directions to “ KELLI MAUREEN MCLAURIN ” Practice Location

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