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NPI Code Detail

MEDICARE: MEG-ANNE E. COYNE L.C.S.W.

MEDICARE: MEG-ANNE E. COYNE L.C.S.W.
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
11041C0700XClinical Social Worker149.008253IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1016535135OTHERILBLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1326261264
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEG-ANNE E. COYNE L.C.S.W.
Provider Business Mailing Address
First Line : 3945 W DAKIN ST
Second Line :
City : CHICAGO
State : IL
Zip : 60618-3101
Country : US
Telephone Number : 773-583-7567
Fax Number :
Provider Business Practice Location Address
First Line : 20 N WACKER DR
Second Line : SUITE 1442
City : CHICAGO
State : IL
Zip : 60606-2806
Country : US
Telephone Number : 773-726-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 11/27/2007

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Directions to “ MEG-ANNE E. COYNE L.C.S.W.” Practice Location

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