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NPI Code Detail

MEDICARE: MR. MICHAEL ROEHR LCPC

MEDICARE:  MR. MICHAEL  ROEHR  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
1101YP2500XProfessional Counselor178013744IL
2101YP2500XProfessional Counselor180014044IL

General Provider Information

NPI Number : 1174017230
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL ROEHR LCPC
Provider Business Mailing Address
First Line : 244 S RANDALL RD STE 1096
Second Line :
City : ELGIN
State : IL
Zip : 60123-5529
Country : US
Telephone Number : 224-484-7678
Fax Number :
Provider Business Practice Location Address
First Line : 1 E NORTHWEST HWY STE 201
Second Line :
City : PALATINE
State : IL
Zip : 60067-1700
Country : US
Telephone Number : 847-908-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2018
Last Update Date : 06/27/2024

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Directions to “ MR. MICHAEL ROEHR LCPC” Practice Location

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