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NPI Code Detail

MEDICARE: MS. ISELA ESTRADA LCPC

MEDICARE:  MS. ISELA  ESTRADA  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
1101YS0200XSchool Counselor2469162IL
2225600000XDance TherapistR-DMT-1840IL
3101YM0800XMental Health Counselor180.010132IL

General Provider Information

NPI Number : 1467344747
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ISELA ESTRADA LCPC
Provider Business Mailing Address
First Line : 6447 S KARLOV AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60629-5101
Country : US
Telephone Number : 773-706-3700
Fax Number :
Provider Business Practice Location Address
First Line : 6442 W 64TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60638-5008
Country : US
Telephone Number : 773-706-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2025
Last Update Date : 07/19/2025

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Directions to “ MS. ISELA ESTRADA LCPC” Practice Location

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