MEDICARE: CARLI M CAMPBELL LCPC

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
1	101YP2500X	Professional Counselor	180013047	IL

General Provider Information

NPI Number	:	1124516083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLI M CAMPBELL LCPC

Provider Business Mailing Address
First Line	:	2240 W FARRAGUT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-0008
Country	:	US
Telephone Number	:	262-424-6409
Fax Number	:

Provider Business Practice Location Address
First Line	:	155 N MICHIGAN AVE STE 201
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-7940
Country	:	US
Telephone Number	:	312-819-7381
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2018
Last Update Date	:	06/03/2024

Similar Medicare Providers

1205358900 — TARA OLSEN
Practice Location Address:

155 N MICHIGAN AVE STE 208
CHICAGO, IL
60601-7940

Practice Phone: 312-600-3790
Practice Fax:

1487154191 — ALAN TSANG
Practice Location Address:

155 N MICHIGAN AVE STE 201
CHICAGO, IL
60601-7940

Practice Phone: 312-340-5971
Practice Fax:

1093266090 — RALIAT Q ADEBOYEJO M.A, LCPC
Practice Location Address:

155 N MICHIGAN AVE STE 202
CHICAGO, IL
60601-7940

Practice Phone: 312-722-6487
Practice Fax:

1861936387 — MILLIE HUCKABEE LCPC
Practice Location Address:

155 N MICHIGAN AVE STE 201
CHICAGO, IL
60601-7940

Practice Phone: 312-819-7381
Practice Fax:

1124513239 — SUSAN MARIE WORTMAN LCPC
Practice Location Address:

155 N MICHIGAN AVE STE 202
CHICAGO, IL
60601-7940

Practice Phone: 312-278-3054
Practice Fax:

1124507058 — CHRISTINE HUANG
Practice Location Address:

155 N MICHIGAN AVE STE 208
CHICAGO, IL
60601-7940

Practice Phone: 312-600-3790
Practice Fax: 872-219-3245

Directions to “ CARLI M CAMPBELL LCPC” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.