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NPI Code Detail

MEDICARE: PAOLA VANESSA ALCANTARA

MEDICARE:   PAOLA VANESSA ALCANTARA
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
1101Y00000XCounselor1727206IL

General Provider Information

NPI Number : 1154100915
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAOLA VANESSA ALCANTARA
Provider Business Mailing Address
First Line : 945 FIELDSTONE CT
Second Line :
City : SCHAUMBURG
State : IL
Zip : 60194-1314
Country : US
Telephone Number : 331-250-0748
Fax Number :
Provider Business Practice Location Address
First Line : 655 W IRVING PARK RD APT 4817
Second Line :
City : CHICAGO
State : IL
Zip : 60613-3138
Country : US
Telephone Number : 773-304-8723
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2023
Last Update Date : 02/10/2026

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Directions to “ PAOLA VANESSA ALCANTARA ” Practice Location

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