MEDICARE: MAUREEN LEE JOYCE MD

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
1	2084P0800X	Psychiatry Physician	125-066305	IL
2	2084P0804X	Child & Adolescent Psychiatry Physician	036.145612	IL

General Provider Information

NPI Number	:	1467833665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN LEE JOYCE MD

Provider Business Mailing Address
First Line	:	225 E CHICAGO AVE # 10
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2991
Country	:	US
Telephone Number	:	312-942-2099
Fax Number	:

Provider Business Practice Location Address
First Line	:	2071 N SOUTHPORT AVE STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-4015
Country	:	US
Telephone Number	:	888-428-7890
Fax Number	:	877-428-7891

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2015
Last Update Date	:	04/07/2022

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