MEDICARE: LAUREN KANTE

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1366829145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN KANTE

Provider Business Mailing Address
First Line	:	4126 N SHERIDAN RD APT 1F
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-5410
Country	:	US
Telephone Number	:	262-443-0598
Fax Number	:

Provider Business Practice Location Address
First Line	:	4126 N SHERIDAN RD APT 1F
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-5410
Country	:	US
Telephone Number	:	262-443-0598
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2015
Last Update Date	:	04/30/2015

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Directions to “ LAUREN KANTE ” Practice Location

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