| Mary Beth Mclaughlin,ltd | |
|
1280 Iroquois Ave Ste 102 Naperville IL 60563-8559 | |
| (630) 305-0464 | |
| (630) 305-0211 |
| Full Name | Mary Beth Mclaughlin,ltd |
|---|---|
| Speciality | Social Worker |
| Location | 1280 Iroquois Ave Ste 102, Naperville, Illinois |
| Authorized Official Name and Position | Mary Beth Mclaughlin (OWNER) |
| Authorized Official Contact | 6303050464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Beth Mclaughlin,ltd 1280 Iroquois Ave Ste 102 Naperville IL 60563-8559 Ph: (630) 305-0464 | Mary Beth Mclaughlin,ltd 1280 Iroquois Ave Ste 102 Naperville IL 60563-8559 Ph: (630) 305-0464 |
| NPI Number | 1104921683 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Medicare PECOS PAC ID | 3870699515 |
|---|---|
| Medicare Enrollment ID | O20070426000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104921683 | NPI | - | NPPES |
| 02271467 | Other | IL | BCBS PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149-002815 (Illinois) | Primary |
| Provider Name | Mary Beth Mclaughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447355912 PECOS PAC ID: 8022911460 Enrollment ID: I20040202000013 |
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