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NPI Code Detail

MEDICARE: ANGELA JILL MEYER LCPC

MEDICARE:   ANGELA JILL MEYER  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
1101YP2500XProfessional Counselor180018372IL

General Provider Information

NPI Number : 1255952396
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA JILL MEYER LCPC
Provider Business Mailing Address
First Line : 4201 LAKE COOK RD STE 103
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-1060
Country : US
Telephone Number : 847-868-3435
Fax Number : 847-859-5885
Provider Business Practice Location Address
First Line : 175 E HAWTHORN PKWY STE 235
Second Line :
City : VERNON HILLS
State : IL
Zip : 60061-1454
Country : US
Telephone Number : 847-868-3435
Fax Number : 847-859-5885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2020
Last Update Date : 06/11/2026

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Directions to “ ANGELA JILL MEYER LCPC” Practice Location

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