MEDICARE: MRS. KAREN G. PLATZBECKER LPC

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	178008446	IL

General Provider Information

NPI Number	:	1265782072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN G. PLATZBECKER LPC

Provider Business Mailing Address
First Line	:	7124 WINDSOR LAKE PKWY
Second Line	:
City	:	LOVES PARK
State	:	IL
Zip	:	61111-3800
Country	:	US
Telephone Number	:	815-520-7730
Fax Number	:

Provider Business Practice Location Address
First Line	:	7124 WINDSOR LAKE PKWY
Second Line	:
City	:	LOVES PARK
State	:	IL
Zip	:	61111-3800
Country	:	US
Telephone Number	:	815-520-7730
Fax Number	:

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

Provider Enumeration Date	:	09/19/2012
Last Update Date	:	09/19/2012

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