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NPI Code Detail

MEDICARE: REGIS STOREY LPC

MEDICARE: REGIS STOREY LPC
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 Counselor178.013108IL

General Provider Information

NPI Number : 1245503101
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGIS STOREY LPC
Provider Business Mailing Address
First Line : 300 W ADAMS ST STE 514
Second Line :
City : CHICAGO
State : IL
Zip : 60606-5108
Country : US
Telephone Number : 312-578-9990
Fax Number :
Provider Business Practice Location Address
First Line : 300 W ADAMS ST STE 514
Second Line :
City : CHICAGO
State : IL
Zip : 60606-5108
Country : US
Telephone Number : 312-578-9990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2012
Last Update Date : 04/16/2018

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Directions to “ REGIS STOREY LPC” Practice Location

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