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NPI Code Detail

MEDICARE: BREE YOO-SUN MCLUEN LSW

MEDICARE: BREE YOO-SUN MCLUEN LSW
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 Worker150.109107IL

General Provider Information

NPI Number : 1376222828
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREE YOO-SUN MCLUEN LSW
Provider Business Mailing Address
First Line : 7251 RANDOLPH ST APT C6
Second Line :
City : FOREST PARK
State : IL
Zip : 60130-1328
Country : US
Telephone Number : 630-392-3737
Fax Number :
Provider Business Practice Location Address
First Line : 3700 S WALLACE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60609-1745
Country : US
Telephone Number : 312-448-8213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2023
Last Update Date : 07/12/2023

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Directions to “ BREE YOO-SUN MCLUEN LSW” Practice Location

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