MEDICARE: DEBORAH ELAINE BARILE MS,LCPC, CADC

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	101Y00000X	Counselor	180.004468	IL

General Provider Information

NPI Number	:	1073834347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH ELAINE BARILE MS,LCPC, CADC

Provider Business Mailing Address
First Line	:	2208 W CORTEZ ST
Second Line	:	SUITE 2
City	:	CHICAGO
State	:	IL
Zip	:	60622-3517
Country	:	US
Telephone Number	:	310-570-8406
Fax Number	:

Provider Business Practice Location Address
First Line	:	2208 W CORTEZ ST
Second Line	:	SUITE 2
City	:	CHICAGO
State	:	IL
Zip	:	60622-3517
Country	:	US
Telephone Number	:	310-570-8406
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2010
Last Update Date	:	06/21/2010

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