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NPI Code Detail

MEDICARE: MRS. JENNIFER C FROEMEL M.A., L.C.P.C.

MEDICARE: MRS. JENNIFER C FROEMEL M.A., L.C.P.C.
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
1101YP2500XProfessional Counselor180003010IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4202591OTHERILMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11634705OTHERILBCBS PPO
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31617631OTHERILBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1790749620
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER C FROEMEL M.A., L.C.P.C.
Provider Business Mailing Address
First Line : 3640 PRAIRIE AVENUE
Second Line :
City : BROOKFIELD
State : IL
Zip : 60513-3015
Country : US
Telephone Number : 312-343-7400
Fax Number : 708-294-3699
Provider Business Practice Location Address
First Line : 715 LAKE ST STE 800
Second Line :
City : OAK PARK
State : IL
Zip : 60301-1417
Country : US
Telephone Number : 312-343-7400
Fax Number : 708-294-3699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 02/24/2020

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