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NPI Code Detail

MEDICARE: NOAH WEBB

MEDICARE: NOAH WEBB
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 Counselor178022771IL

General Provider Information

NPI Number : 1275481103
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOAH WEBB
Provider Business Mailing Address
First Line : 4001 N WOLCOTT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2411
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4001 N WOLCOTT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2411
Country : US
Telephone Number : 773-789-9775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “ NOAH WEBB ” Practice Location

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