MEDICARE: VICTORIA B LACHMANN LCPC, CADC

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	101Y00000X	Counselor	80-000913	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1626505	OTHER	IL	BCBS PROVIDER #

General Provider Information

NPI Number	:	1376699876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA B LACHMANN LCPC, CADC

Provider Business Mailing Address
First Line	:	120 W GOLF RD
Second Line	:	STE. #208
City	:	SCHAUMBURG
State	:	IL
Zip	:	60195-5179
Country	:	US
Telephone Number	:	847-805-8005
Fax Number	:	847-805-8006

Provider Business Practice Location Address
First Line	:	120 W GOLF RD
Second Line	:	STE. #208
City	:	SCHAUMBURG
State	:	IL
Zip	:	60195-5179
Country	:	US
Telephone Number	:	847-805-8005
Fax Number	:	847-805-8006

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

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	07/08/2007

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