MEDICARE: LAUREN KRPAN LCPC

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	101YM0800X	Mental Health Counselor	180.012628	IL

General Provider Information

NPI Number	:	1619414414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN KRPAN LCPC

Provider Business Mailing Address
First Line	:	216 N JEFFERSON ST STE 300
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60661-1302
Country	:	US
Telephone Number	:	773-340-0203
Fax Number	:

Provider Business Practice Location Address
First Line	:	216 N JEFFERSON ST STE 300
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60661-1302
Country	:	US
Telephone Number	:	773-340-0203
Fax Number	:

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

Provider Enumeration Date	:	01/31/2017
Last Update Date	:	02/05/2026

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