MEDICARE: CAROLINA BEDOLLA

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1194654392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINA BEDOLLA

Provider Business Mailing Address
First Line	:	111 N COUNTY FARM RD
Second Line	:
City	:	WHEATON
State	:	IL
Zip	:	60187-3977
Country	:	US
Telephone Number	:	630-682-7400
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 N COUNTY FARM RD
Second Line	:
City	:	WHEATON
State	:	IL
Zip	:	60187-3977
Country	:	US
Telephone Number	:	630-627-1700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/15/2026

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Directions to “ CAROLINA BEDOLLA ” Practice Location

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