DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. LORIE ESTHER FUENTES

MEDICARE: MS. LORIE ESTHER FUENTES
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 Counselor
2104100000XSocial Worker
3104100000XSocial Worker150.108067IL
4101Y00000XCounselor150.108067IL

General Provider Information

NPI Number : 1124766266
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORIE ESTHER FUENTES
Provider Business Mailing Address
First Line : 4222 W POTOMAC AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60651-1854
Country : US
Telephone Number : 773-818-9430
Fax Number : 773-687-9412
Provider Business Practice Location Address
First Line : 2715 N CENTRAL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60639-1351
Country : US
Telephone Number : 773-360-1389
Fax Number : 773-687-9412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2022
Last Update Date : 06/03/2022

Similar Medicare Providers

1104066398 — CENTRAL MEDICAL SPECIALISTS LLC
Practice Location Address:
2715 N CENTRAL AVE
CHICAGO, IL
60639-1351
Practice Phone: 312-326-6100
Practice Fax: 773-385-6890
1750633061 — CENTRAL MEDICAL SPECIALISTS, LLC
Practice Location Address:
2715 N CENTRAL AVE
CHICAGO, IL
60639-1351
Practice Phone: 312-326-6100
Practice Fax: 773-385-6890
1558704577 — JAY SWEIS D.D.S P.C
Practice Location Address:
2715 N CENTRAL AVE , SUITE A
CHICAGO, IL
60639-1351
Practice Phone: 773-308-5542
Practice Fax:
1275936486 — DR. WARREN BRADEN SR. ED.D.
Practice Location Address:
2715 N CENTRAL AVE
CHICAGO, IL
60639-1351
Practice Phone: 773-360-1389
Practice Fax: 773-687-9412
1992256218 — CAROLINA THERAPEUTIC SERVICES, INC
Practice Location Address:
2715 N CENTRAL AVE
CHICAGO, IL
60639-1351
Practice Phone: 773-360-1389
Practice Fax: 773-687-9412
1356959332 — NIKHITA MOOLAYIL
Practice Location Address:
2715 N CENTRAL AVE
CHICAGO, IL
60639-1351
Practice Phone: 773-360-1389
Practice Fax:

Directions to “ MS. LORIE ESTHER FUENTES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.