MEDICARE: MS. FELICE LEWIN BLOCK LCPC

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		IL

General Provider Information

NPI Number	:	1396806683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FELICE LEWIN BLOCK LCPC

Provider Business Mailing Address
First Line	:	1207 MCHENRY RD
Second Line	:	SUITE 217B
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-1371
Country	:	US
Telephone Number	:	847-494-0482
Fax Number	:	847-680-3535

Provider Business Practice Location Address
First Line	:	1207 MCHENRY RD
Second Line	:	SUITE 217B
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-1371
Country	:	US
Telephone Number	:	847-494-0482
Fax Number	:	847-680-3535

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	07/08/2007

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