MEDICARE: BREEZER COUNSELING AND WELLNESS

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

General Provider Information

NPI Number	:	1427935576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREEZER COUNSELING AND WELLNESS

Provider Business Mailing Address
First Line	:	7911 W LEONORA LN
Second Line	:
City	:	ELMWOOD PARK
State	:	IL
Zip	:	60707-3535
Country	:	US
Telephone Number	:	708-303-8641
Fax Number	:

Provider Business Practice Location Address
First Line	:	630 N NORTH CT STE 180
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-8122
Country	:	US
Telephone Number	:	708-303-8641
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KARINA BREEZER
Credential	:	LCPC
Telephone Number	:	708-846-2318

Provider Enumeration Date	:	08/20/2025
Last Update Date	:	01/13/2026

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