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NPI Code Detail

MEDICARE: DIANE FRANZEN LCPC

MEDICARE: DIANE FRANZEN 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
1101Y00000XCounselor180005825IL

General Provider Information

NPI Number : 1245556125
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE FRANZEN LCPC
Provider Business Mailing Address
First Line : 450 W 14TH ST
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-2463
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 450 W 14TH ST
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-2463
Country : US
Telephone Number : 708-503-9670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2010
Last Update Date : 04/16/2010

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