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NPI Code Detail

MEDICARE: LOLAN PANALIGAN ADAN LCPC

MEDICARE: LOLAN PANALIGAN ADAN 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 Counselor180016395IL

General Provider Information

NPI Number : 1164074324
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOLAN PANALIGAN ADAN LCPC
Provider Business Mailing Address
First Line : 1700 E 56TH ST APT 1307
Second Line :
City : CHICAGO
State : IL
Zip : 60637-5080
Country : US
Telephone Number : 917-575-7347
Fax Number :
Provider Business Practice Location Address
First Line : 3660 N LAKE SHORE DR STE 201
Second Line :
City : CHICAGO
State : IL
Zip : 60613-5302
Country : US
Telephone Number : 442-264-7589
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2019
Last Update Date : 04/04/2025

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Directions to “ LOLAN PANALIGAN ADAN LCPC” Practice Location

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