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NPI Code Detail

MEDICARE: NATHANIEL ANTHONY IOVINELLI LCPC

MEDICARE: NATHANIEL ANTHONY IOVINELLI 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
1101YM0800XMental Health Counselor180.017970IL

General Provider Information

NPI Number : 1801749718
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHANIEL ANTHONY IOVINELLI LCPC
Provider Business Mailing Address
First Line : 1334 W MORSE AVE APT 401
Second Line :
City : CHICAGO
State : IL
Zip : 60626-3903
Country : US
Telephone Number : 815-931-2528
Fax Number :
Provider Business Practice Location Address
First Line : 4101 N RAVENSWOOD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2193
Country : US
Telephone Number : 773-572-5340
Fax Number : 773-432-6949
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2026
Last Update Date : 02/19/2026

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