MEDICARE: LAURA MARIE SCHRAMM 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	101YM0800X	Mental Health Counselor	178017083	IL

General Provider Information

NPI Number	:	1326702242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA MARIE SCHRAMM LPC

Provider Business Mailing Address
First Line	:	10333 WASHINGTON AVE
Second Line	:
City	:	OAK LAWN
State	:	IL
Zip	:	60453-4650
Country	:	US
Telephone Number	:	708-717-9553
Fax Number	:

Provider Business Practice Location Address
First Line	:	20646 ABBEY WOODS CT N STE 205
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-3177
Country	:	US
Telephone Number	:	815-464-8210
Fax Number	:

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

Provider Enumeration Date	:	10/27/2021
Last Update Date	:	10/27/2021

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