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NPI Code Detail

MEDICARE: LAUREN ELIZABETH PENKAS

MEDICARE:   LAUREN ELIZABETH PENKAS
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 Worker

General Provider Information

NPI Number : 1861272999
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ELIZABETH PENKAS
Provider Business Mailing Address
First Line : 1101 31ST ST STE 105
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-5535
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1101 31ST ST STE 105
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-5535
Country : US
Telephone Number : 630-206-0272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2023
Last Update Date : 10/05/2023

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Directions to “ LAUREN ELIZABETH PENKAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.