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NPI Code Detail

MEDICARE: CHELSEA VLCEK

MEDICARE: CHELSEA VLCEK
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 Counselor178.019394IL

General Provider Information

NPI Number : 1417400854
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA VLCEK
Provider Business Mailing Address
First Line : 1438 W BELMONT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-2150
Country : US
Telephone Number : 312-508-3645
Fax Number :
Provider Business Practice Location Address
First Line : 1438 W BELMONT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-2150
Country : US
Telephone Number : 312-508-3645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2016
Last Update Date : 04/01/2024

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Directions to “ CHELSEA VLCEK ” Practice Location

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