MEDICARE: BRANDY NICOLE LACHAPELLE

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		IL

General Provider Information

NPI Number	:	1912858572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDY NICOLE LACHAPELLE

Provider Business Mailing Address
First Line	:	350 S NORTHWEST HWY STE 300
Second Line	:
City	:	PARK RIDGE
State	:	IL
Zip	:	60068-4262
Country	:	US
Telephone Number	:	847-877-5805
Fax Number	:

Provider Business Practice Location Address
First Line	:	5905 N KILBOURN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-5939
Country	:	US
Telephone Number	:	847-877-5805
Fax Number	:

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

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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