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NPI Code Detail

MEDICARE: CONNOR STRAWN LCPC

MEDICARE: CONNOR STRAWN 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 Counselor180016163IL

General Provider Information

NPI Number : 1023781887
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNOR STRAWN LCPC
Provider Business Mailing Address
First Line : 2650 RIDGE AVE STE 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-570-2040
Fax Number :
Provider Business Practice Location Address
First Line : 9697 191ST ST
Second Line :
City : MOKENA
State : IL
Zip : 60448-8609
Country : US
Telephone Number : 630-305-5027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2021
Last Update Date : 04/06/2026

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Directions to “ CONNOR STRAWN LCPC” Practice Location

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