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NPI Code Detail

MEDICARE: PATRICK MOONEY LPC, NCC

MEDICARE:   PATRICK  MOONEY  LPC, NCC
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
1101YM0800XMental Health CounselorIL

General Provider Information

NPI Number : 1255282679
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK MOONEY LPC, NCC
Provider Business Mailing Address
First Line : 1700 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2559
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2559
Country : US
Telephone Number : 312-248-2882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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