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NPI Code Detail

MEDICARE: ASHLEY JANE BOTSIOS LCPC

MEDICARE:   ASHLEY JANE BOTSIOS  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
1101YP2500XProfessional Counselor178.016357IL
2101YP2500XProfessional Counselor180.016049IL

General Provider Information

NPI Number : 1881291631
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY JANE BOTSIOS LCPC
Provider Business Mailing Address
First Line : 1100 N DAMEN AVE APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60622-4135
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3166 N LINCOLN AVE STE 217
Second Line :
City : CHICAGO
State : IL
Zip : 60657-3119
Country : US
Telephone Number : 708-406-9870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2020
Last Update Date : 07/26/2024

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Directions to “ ASHLEY JANE BOTSIOS LCPC” Practice Location

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