MEDICARE: LAUREN PRETNAR

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
2	101YP2500X	Professional Counselor	178.018715	IL
3	101YP2500X	Professional Counselor	180.016685	IL

General Provider Information

NPI Number	:	1942377528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN PRETNAR

Provider Business Mailing Address
First Line	:	1929 N HARDING AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-3414
Country	:	US
Telephone Number	:	773-355-9788
Fax Number	:

Provider Business Practice Location Address
First Line	:	1142 W MADISON ST STE 302
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-2191
Country	:	US
Telephone Number	:	312-970-0525
Fax Number	:

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

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	02/22/2025

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Directions to “ LAUREN PRETNAR ” Practice Location

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