MEDICARE: LIFE WORTH LIVING, P.C.

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	180-003245	IL

General Provider Information

NPI Number	:	1235441643
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE WORTH LIVING, P.C.

Provider Business Mailing Address
First Line	:	1110 N WASHINGTON ST
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-2767
Country	:	US
Telephone Number	:	630-637-4002
Fax Number	:	630-637-4002

Provider Business Practice Location Address
First Line	:	1110 N WASHINGTON ST
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-2767
Country	:	US
Telephone Number	:	630-637-4002
Fax Number	:	630-637-4002

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES A. KOWAL
Credential	:	PH.D.
Telephone Number	:	630-921-2400

Provider Enumeration Date	:	07/14/2010
Last Update Date	:	02/23/2017

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