MEDICARE: ADAM-JON APARICIO

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
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1124527593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM-JON APARICIO

Provider Business Mailing Address
First Line	:	1055 W BRYN MAWR AVE STE F
Second Line	:	#274
City	:	CHICAGO
State	:	IL
Zip	:	60660
Country	:	US
Telephone Number	:	970-239-1983
Fax Number	:

Provider Business Practice Location Address
First Line	:	5603 N WAYNE AVE
Second Line	:	APT 3
City	:	CHICAGO
State	:	IL
Zip	:	60660
Country	:	US
Telephone Number	:	970-239-1983
Fax Number	:

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

Provider Enumeration Date	:	02/12/2018
Last Update Date	:	08/18/2022

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Directions to “ ADAM-JON APARICIO ” Practice Location

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