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NPI Code Detail

MEDICARE: CAITLIN MCQUEEN LPC

MEDICARE:   CAITLIN  MCQUEEN  LPC
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 Counselor178.020115IL

General Provider Information

NPI Number : 1073369237
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN MCQUEEN LPC
Provider Business Mailing Address
First Line : 2500 N WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-2014
Country : US
Telephone Number : 440-477-6981
Fax Number :
Provider Business Practice Location Address
First Line : 2514 W ARMITAGE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5970
Country : US
Telephone Number : 773-697-9278
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2024
Last Update Date : 04/29/2024

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Directions to “ CAITLIN MCQUEEN LPC” Practice Location

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