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NPI Code Detail

MEDICARE: THE COUNSELING CENTER

MEDICARE: THE COUNSELING CENTER
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
1251S00000XCommunity/Behavioral Health Agency149-001984IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1362167074OTHERILTHE FIRST PRESBYTERIAN SOCIETY OF EVANSTON
21598831372OTHERILINDIVIDUAL NPI IDENTIFIER FOR PRIVATE PRACTICE USE

General Provider Information

NPI Number : 1427285907
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE COUNSELING CENTER
Provider Business Mailing Address
First Line : 1427 CHICAGO AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60201-4726
Country : US
Telephone Number : 847-864-9133
Fax Number : 847-864-9672
Provider Business Practice Location Address
First Line : 1427 CHICAGO AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60201-4726
Country : US
Telephone Number : 847-864-9133
Fax Number : 847-864-9672
Authorized Official
Title or Position : DIRECTOR
Name : DR. CHRISTOPHER MILLER
Credential : D.MIN, M.S.
Telephone Number : 847-864-9133
Provider Enumeration Date : 06/11/2009
Last Update Date : 06/11/2009

Similar Medicare Providers

1508204066 — CHARLES S MIYAMOTO REV.; LPC
Practice Location Address:
1427 CHICAGO AVE
EVANSTON, IL
60201-4726
Practice Phone: 847-864-9133
Practice Fax:
1457799926 — FIRST PRESBYTERIAN CHURCH
Practice Location Address:
1427 CHICAGO AVE
EVANSTON, IL
60201-4726
Practice Phone: 847-864-9133
Practice Fax:
1760989958 — VICTORIA ANN NELSON LPC
Practice Location Address:
1427 CHICAGO AVE
EVANSTON, IL
60201-4726
Practice Phone: 847-864-9133
Practice Fax:
1376283945 — DR. NICHOLAS MANTICAS MD
Practice Location Address:
800 W. CENTRAL RD. IM HOSPITALISTS-2 WEST
ARLINGTON HEIGHTS, IL
60005-2349
Practice Phone: 877-635-9229
Practice Fax: 847-618-3259
1700238482 — MS. KELLY JO PFEIFFER PA-C
Practice Location Address:
2650 RIDGE AVE
EVANSTON, IL
60201-1700
Practice Phone: 847-570-2428
Practice Fax:
1932518065 — MR. TOM WEN-HAO CHERNG PA-C
Practice Location Address:
2650 RIDGE AVE STE 3507
EVANSTON, IL
60201-1778
Practice Phone: 847-570-2868
Practice Fax: 847-570-2930

Directions to “THE COUNSELING CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.