Healthcare Provider Details

I. General information

NPI: 1659184687
Provider Name (Legal Business Name): KATHRYN C CAHNMANN LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATIE CAROLE CAHNMANN LCPC

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6171 N SHERIDAN RD APT 612
CHICAGO IL
60660-5847
US

IV. Provider business mailing address

6171 N SHERIDAN RD APT 612
CHICAGO IL
60660-5847
US

V. Phone/Fax

Practice location:
  • Phone: 312-550-1683
  • Fax:
Mailing address:
  • Phone: 312-550-1683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180016636
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: