MEDICARE: CARA LISBETH STERN M.S.,M.PHIL.ED,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
1	101YP2500X	Professional Counselor	180.009902	IL

General Provider Information

NPI Number	:	1225384241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA LISBETH STERN M.S.,M.PHIL.ED,LCPC

Provider Business Mailing Address
First Line	:	1201 S PRAIRIE AVE APT 1005
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-3422
Country	:	US
Telephone Number	:	215-738-2568
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 N MICHIGAN AVE STE 1000
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-3114
Country	:	US
Telephone Number	:	312-572-8972
Fax Number	:

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

Provider Enumeration Date	:	07/27/2012
Last Update Date	:	03/17/2018

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