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NPI Code Detail

MEDICARE: MRS. IRENE E CAUWELS L.C.P.C., C.A.D.C.

MEDICARE:  MRS. IRENE E CAUWELS  L.C.P.C., C.A.D.C.
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
1101YM0800XMental Health Counselor180006874IL

General Provider Information

NPI Number : 1033370432
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. IRENE E CAUWELS L.C.P.C., C.A.D.C.
Provider Business Mailing Address
First Line : 1250 S. GROVE STREET
Second Line : SUITE 303
City : BARRINGTON
State : IL
Zip : 60067-4909
Country : US
Telephone Number : 847-274-8532
Fax Number : 844-231-8909
Provider Business Practice Location Address
First Line : 1250 S. GROVE STREET
Second Line : SUITE 303
City : BARRINGTON
State : IL
Zip : 60067-4909
Country : US
Telephone Number : 847-274-8532
Fax Number : 844-231-8909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2008
Last Update Date : 08/18/2015

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Directions to “ MRS. IRENE E CAUWELS L.C.P.C., C.A.D.C.” Practice Location

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