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NPI Code Detail

MEDICARE: DANIEL LEE KASPER-MACMILLAN LCPC,LPCC,LPC,IMHP

MEDICARE: DANIEL LEE KASPER-MACMILLAN LCPC,LPCC,LPC,IMHP
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
1101Y00000XCounselor178010844IL

General Provider Information

NPI Number : 1417471178
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL LEE KASPER-MACMILLAN LCPC,LPCC,LPC,IMHP
Provider Business Mailing Address
First Line : 5724 N LOWELL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60646-5926
Country : US
Telephone Number : 260-316-9713
Fax Number :
Provider Business Practice Location Address
First Line : 225 N MICHIGAN AVE STE 1430
Second Line :
City : CHICAGO
State : IL
Zip : 60601-7653
Country : US
Telephone Number : 312-971-3457
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2017
Last Update Date : 03/07/2023

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