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NPI Code Detail

MEDICARE: ANDREW VENELL

MEDICARE: ANDREW VENELL
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

General Provider Information

NPI Number : 1194572701
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW VENELL
Provider Business Mailing Address
First Line : 1925 N CLYBOURN AVE STE 401
Second Line :
City : CHICAGO
State : IL
Zip : 60614-7397
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1925 N CLYBOURN AVE STE 401
Second Line :
City : CHICAGO
State : IL
Zip : 60614-7397
Country : US
Telephone Number : 872-760-4099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2024
Last Update Date : 05/10/2024

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Directions to “ ANDREW VENELL ” Practice Location

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