MEDICARE: KATHERINE SUZANNE TUREK

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	180015114	IL
2	101YP2500X	Professional Counselor	180015114	IL

General Provider Information

NPI Number	:	1245932490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE SUZANNE TUREK

Provider Business Mailing Address
First Line	:	129 SIR LAWRENCE DR
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62221-4460
Country	:	US
Telephone Number	:	314-630-2039
Fax Number	:

Provider Business Practice Location Address
First Line	:	129 SIR LAWRENCE DR
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62221-4460
Country	:	US
Telephone Number	:	314-630-2039
Fax Number	:

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

Provider Enumeration Date	:	03/21/2023
Last Update Date	:	12/03/2025

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