MEDICARE: AMY JAGLINSKI LPC

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	101YP2500X	Professional Counselor		IL

General Provider Information

NPI Number	:	1871212456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY JAGLINSKI LPC

Provider Business Mailing Address
First Line	:	825 E GOLF RD STE 1410
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-5200
Country	:	US
Telephone Number	:	847-999-3888
Fax Number	:

Provider Business Practice Location Address
First Line	:	825 E GOLF RD STE 1410
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-5200
Country	:	US
Telephone Number	:	847-999-3888
Fax Number	:

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

Provider Enumeration Date	:	08/25/2022
Last Update Date	:	08/25/2022

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