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NPI Code Detail

MEDICARE: INSIDE FAMILY COUNSELING, LLC

MEDICARE: INSIDE FAMILY COUNSELING, LLC
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 Counselor180008911IL

General Provider Information

NPI Number : 1356715916
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSIDE FAMILY COUNSELING, LLC
Provider Business Mailing Address
First Line : 255 N MICHIGAN AVE
Second Line :
City : ELMHURST
State : IL
Zip : 60126-2735
Country : US
Telephone Number : 773-470-3106
Fax Number :
Provider Business Practice Location Address
First Line : 1770 W BERTEAU AVE STE 302A
Second Line :
City : CHICAGO
State : IL
Zip : 60613-1750
Country : US
Telephone Number : 773-470-3106
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MIHAELA BERNARD
Credential : LCPC
Telephone Number : 773-470-3106
Provider Enumeration Date : 11/19/2015
Last Update Date : 11/19/2015

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Directions to “INSIDE FAMILY COUNSELING, LLC ” Practice Location

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