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NPI Code Detail

MEDICARE: LAUREN KANTE

MEDICARE:   LAUREN  KANTE
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1366829145
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN KANTE
Provider Business Mailing Address
First Line : 4126 N SHERIDAN RD APT 1F
Second Line :
City : CHICAGO
State : IL
Zip : 60613-5410
Country : US
Telephone Number : 262-443-0598
Fax Number :
Provider Business Practice Location Address
First Line : 4126 N SHERIDAN RD APT 1F
Second Line :
City : CHICAGO
State : IL
Zip : 60613-5410
Country : US
Telephone Number : 262-443-0598
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2015
Last Update Date : 04/30/2015

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Directions to “ LAUREN KANTE ” Practice Location

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