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NPI Code Detail

MEDICARE: L K NEU THERAPY

MEDICARE: L K NEU THERAPY
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 Worker

General Provider Information

NPI Number : 1659925881
Entity Type Code : Organization
Provider Name (Legal Business Name) : L K NEU THERAPY
Provider Business Mailing Address
First Line : 3333 WARRENVILLE RD STE 200
Second Line :
City : LISLE
State : IL
Zip : 60532-1999
Country : US
Telephone Number : 331-213-1868
Fax Number :
Provider Business Practice Location Address
First Line : 3333 WARRENVILLE RD STE 200
Second Line :
City : LISLE
State : IL
Zip : 60532-1999
Country : US
Telephone Number : 331-213-1868
Fax Number :
Authorized Official
Title or Position : OWNER/ PROVIER
Name : LEAH KATHRYN NEU WEIALND
Credential : LCSW
Telephone Number : 331-213-1868
Provider Enumeration Date : 07/25/2019
Last Update Date : 07/25/2019

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Directions to “L K NEU THERAPY ” Practice Location

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