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NPI Code Detail

MEDICARE: MS. BECKY JUNE NAGEL LCSW

MEDICARE:  MS. BECKY JUNE NAGEL  LCSW
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 Worker149.012397IL

General Provider Information

NPI Number : 1932536570
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BECKY JUNE NAGEL LCSW
Provider Business Mailing Address
First Line : 5724 W CULLOM AVE UNIT 3
Second Line :
City : CHICAGO
State : IL
Zip : 60634-1718
Country : US
Telephone Number : 312-391-0273
Fax Number :
Provider Business Practice Location Address
First Line : 1 E SUPERIOR ST STE 500B
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2593
Country : US
Telephone Number : 312-391-0273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2013
Last Update Date : 07/28/2022

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Directions to “ MS. BECKY JUNE NAGEL LCSW” Practice Location

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