Rex Thomas Mccully | Chicago, IL • PECOS Search

Rex Thomas Mccully

Social Worker

Behavioral Health & Social Service Providers

71 E Division St Apt 804, Chicago, IL 60610-8311

PECOS Enrollment

Based on the most recent information from CMS, provider Rex Thomas Mccully does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1740051960
Provider Type
Individual
Full Name
Mccully, Rex Thomas
Title
Mr.
Credential
LCSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/16/2024
Last Updated
1/16/2024

Contact Information

Practice Location

71 E Division St Apt 804, Chicago, IL 60610-8311

Unlisted Fax

Mailing Location

71 E Division St Apt 804, Chicago, IL 60610-8311

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 69337 Texas