MEDICARE: DAVID P LEY CONSULTING LTD.

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	1041S0200X	School Social Worker	149000883	IL

General Provider Information

NPI Number	:	1811298029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID P LEY CONSULTING LTD.

Provider Business Mailing Address
First Line	:	3530 N LAKE SHORE DR APT 9B
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-1894
Country	:	US
Telephone Number	:	773-281-6587
Fax Number	:

Provider Business Practice Location Address
First Line	:	3530 N LAKE SHORE DR APT 9B
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-1894
Country	:	US
Telephone Number	:	773-281-6587
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	MR. DAVID P P LEY
Credential	:	LCSW
Telephone Number	:	773-281-6587

Provider Enumeration Date	:	11/04/2010
Last Update Date	:	11/04/2010

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