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NPI Code Detail

MEDICARE: MS. ELIZABETH ANN MCNALLY LCSW

MEDICARE: MS. ELIZABETH ANN MCNALLY 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1245713312
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH ANN MCNALLY LCSW
Provider Business Mailing Address
First Line : 1101 31ST ST STE 105
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-5535
Country : US
Telephone Number : 630-206-0272
Fax Number : 630-926-0640
Provider Business Practice Location Address
First Line : 1101 31ST ST STE 105
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-5535
Country : US
Telephone Number : 630-206-0272
Fax Number : 630-926-0640
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2018
Last Update Date : 03/06/2026

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