MEDICARE: MS. CHRISTINE SCHILZ 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	101YP2500X	Professional Counselor	180009033	IL

General Provider Information

NPI Number	:	1508272329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTINE SCHILZ LCPC

Provider Business Mailing Address
First Line	:	7820 N. UNIVERSITY, SUITE 101
Second Line	:	ABC COUNSELING AND FAMILY SERVICE
City	:	PEORIA
State	:	IL
Zip	:	61614-8301
Country	:	US
Telephone Number	:	309-689-2990
Fax Number	:

Provider Business Practice Location Address
First Line	:	7820 N. UNIVERSITY, SUITE 101
Second Line	:	ABC COUNSELING AND FAMILY SERVICE
City	:	PEORIA
State	:	IL
Zip	:	61614-8301
Country	:	US
Telephone Number	:	309-689-2990
Fax Number	:

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

Provider Enumeration Date	:	07/02/2014
Last Update Date	:	07/02/2014

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