MEDICARE: KASSANDRA A PATANKAR 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	180012913	IL

General Provider Information

NPI Number	:	1255812202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASSANDRA A PATANKAR LCPC

Provider Business Mailing Address
First Line	:	781 S MIDLOTHIAN RD # 154
Second Line	:
City	:	MUNDELEIN
State	:	IL
Zip	:	60060-2686
Country	:	US
Telephone Number	:	847-481-6742
Fax Number	:

Provider Business Practice Location Address
First Line	:	451 W WATERBURY DR
Second Line	:
City	:	ROUND LAKE
State	:	IL
Zip	:	60073-5704
Country	:	US
Telephone Number	:	847-481-6742
Fax Number	:

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

Provider Enumeration Date	:	08/28/2018
Last Update Date	:	01/13/2026

Similar Medicare Providers

1366404527 — MRS. PATRICIA RUGGERI-WEIGEL M.D., F.A.C.P.
Practice Location Address:

5171 S COTTONWOOD ST
SALT LAKE CITY, UT
84107-5704

Practice Phone: 801-507-7781
Practice Fax:

1225096753 — JEFFREY GEORGE MITSCH MSPT
Practice Location Address:

5704 E LAKE SAMMAMISH PKWY SE STE 101
ISSAQUAH, WA
98029-8941

Practice Phone: 425-270-3323
Practice Fax: 425-270-3326

1679519961 — CARA C CAMIOLO REDDY MD
Practice Location Address:

5171 S COTTONWOOD ST , STE 810
SALT LAKE CITY, UT
84107-5704

Practice Phone: 801-507-9800
Practice Fax:

1124126222 — DR. SCOTT LOWELL BERGEN
Practice Location Address:

314 182ND AVE E , SUITE D
LAKE TAPPS, WA
98391-5704

Practice Phone: 253-939-2225
Practice Fax:

1275695439 — DLJOHNSON, INC PS
Practice Location Address:

314 182ND AVE E , SUITE D
LAKE TAPPS, WA
98391-5704

Practice Phone: 253-862-7196
Practice Fax: 253-862-7290

1205037348 — MILA RANOVIC PT
Practice Location Address:

4951 S 925 E
SALT LAKE CITY, UT
84117-5704

Practice Phone: 801-815-3482
Practice Fax:

Directions to “ KASSANDRA A PATANKAR LCPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.