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NPI Code Detail

MEDICARE: LARONEJE LORETTA PARKER LCPC

MEDICARE: LARONEJE LORETTA PARKER 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 Counselor180.016017IL

General Provider Information

NPI Number : 1124637186
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARONEJE LORETTA PARKER LCPC
Provider Business Mailing Address
First Line : 575 W MADISON ST APT 2601
Second Line :
City : CHICAGO
State : IL
Zip : 60661-2542
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 213 W INSTITUTE PL STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60610-8792
Country : US
Telephone Number : 312-650-9689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2020
Last Update Date : 03/13/2026

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