MEDICARE: ANN FOSTER LTD, DBA MILLENNIUM COUNSELING CENTER

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		IL

General Provider Information

NPI Number	:	1073529418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANN FOSTER LTD, DBA MILLENNIUM COUNSELING CENTER

Provider Business Mailing Address
First Line	:	8 S MICHIGAN AVE # 601-610
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60603-3357
Country	:	US
Telephone Number	:	312-460-8001
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 S MICHIGAN AVE # 601-610
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60603-3357
Country	:	US
Telephone Number	:	312-460-8001
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/EXECUTIVE DIRECTOR
Name	:	MS. ANN FOSTER
Credential	:	MTS, LCPC, CADC
Telephone Number	:	312-460-8001

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	08/22/2020

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