MEDICARE: NORA SAPIEKA 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	101Y00000X	Counselor	180012882	IL

General Provider Information

NPI Number	:	1457972234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORA SAPIEKA LCPC

Provider Business Mailing Address
First Line	:	5115 N OCTAVIA AVE
Second Line	:
City	:	HARWOOD HEIGHTS
State	:	IL
Zip	:	60706-3626
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5115 N OCTAVIA AVE
Second Line	:
City	:	HARWOOD HEIGHTS
State	:	IL
Zip	:	60706-3626
Country	:	US
Telephone Number	:	847-867-6605
Fax Number	:

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

Provider Enumeration Date	:	05/02/2020
Last Update Date	:	06/04/2020

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Directions to “ NORA SAPIEKA LCPC” Practice Location

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