MEDICARE: NAWAL ALOMARI M.A. LPC

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	178012217	IL

General Provider Information

NPI Number	:	1225583404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAWAL ALOMARI M.A. LPC

Provider Business Mailing Address
First Line	:	10536 RACHEL LN
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60467-1364
Country	:	US
Telephone Number	:	773-573-2053
Fax Number	:

Provider Business Practice Location Address
First Line	:	3660 N LAKE SHORE DR
Second Line	:	SUITE 210
City	:	CHICAGO
State	:	IL
Zip	:	60613-5300
Country	:	US
Telephone Number	:	773-683-1731
Fax Number	:

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

Provider Enumeration Date	:	08/17/2016
Last Update Date	:	08/17/2016

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