MEDICARE: LARA POSTMA

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	101YP2500X	Professional Counselor	178007786	IL

General Provider Information

NPI Number	:	1477287654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARA POSTMA

Provider Business Mailing Address
First Line	:	9875 W LINCOLN HWY
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-1930
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9875 W LINCOLN HWY
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-1930
Country	:	US
Telephone Number	:	630-218-2496
Fax Number	:

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

Provider Enumeration Date	:	07/13/2022
Last Update Date	:	07/13/2022

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Directions to “ LARA POSTMA ” Practice Location

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