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NPI Code Detail

MEDICARE: BRITTNEY OWENS

MEDICARE:   BRITTNEY  OWENS
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 Counselor178012174IL
2101YP2500XProfessional Counselor180011742IL

General Provider Information

NPI Number : 1184149908
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTNEY OWENS
Provider Business Mailing Address
First Line : 1322 W 18TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60608-3148
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1322 W 18TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60608-3148
Country : US
Telephone Number : 312-285-5847
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2017
Last Update Date : 12/18/2019

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Directions to “ BRITTNEY OWENS ” Practice Location

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