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NPI Code Detail

MEDICARE: RACHEL S BIRKENFELD LCPC, LMFT

MEDICARE: RACHEL S BIRKENFELD LCPC, LMFT
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
1101YM0800XMental Health CounselorIL
2106H00000XMarriage & Family TherapistIL

General Provider Information

NPI Number : 1134306467
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL S BIRKENFELD LCPC, LMFT
Provider Business Mailing Address
First Line : 3062 E 91ST ST
Second Line :
City : CHICAGO
State : IL
Zip : 60617-4401
Country : US
Telephone Number : 773-371-2905
Fax Number : 773-371-2950
Provider Business Practice Location Address
First Line : 3062 E 91ST ST
Second Line :
City : CHICAGO
State : IL
Zip : 60617-4401
Country : US
Telephone Number : 773-371-2905
Fax Number : 773-371-2950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2008
Last Update Date : 01/29/2008

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