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NPI Code Detail

MEDICARE: LATANYA MARIE MCFIELD

MEDICARE:   LATANYA MARIE MCFIELD
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
1103K00000XBehavior Analyst1-26-88012IL
2103TM1800XIntellectual & Developmental Disabilities Psychologist180-006065IL

General Provider Information

NPI Number : 1821206327
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATANYA MARIE MCFIELD
Provider Business Mailing Address
First Line : 17911 LOS ANGELES AVE
Second Line :
City : HOMEWOOD
State : IL
Zip : 60430-1509
Country : US
Telephone Number : 773-807-2144
Fax Number :
Provider Business Practice Location Address
First Line : 400 E 41ST ST
Second Line : SUITE 101A
City : CHICAGO
State : IL
Zip : 60653-3071
Country : US
Telephone Number : 773-807-2144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 03/25/2026

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