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NPI Code Detail

MEDICARE: FELICIA CHOVANEC

MEDICARE:   FELICIA  CHOVANEC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
31041C0700XClinical Social Worker149.027379

General Provider Information

NPI Number : 1417521410
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELICIA CHOVANEC
Provider Business Mailing Address
First Line : 1607 W PLYMOUTH DR
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-2848
Country : US
Telephone Number : 224-801-9411
Fax Number :
Provider Business Practice Location Address
First Line : 1607 W PLYMOUTH DR
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-2848
Country : US
Telephone Number : 224-801-9411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2021
Last Update Date : 07/25/2024

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Directions to “ FELICIA CHOVANEC ” Practice Location

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