MEDICARE: THERAPY WITH ERAN, PLLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1508799263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY WITH ERAN, PLLC

Provider Business Mailing Address
First Line	:	913 S LOGAN ST # 31
Second Line	:
City	:	LENA
State	:	IL
Zip	:	61048-9205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	913 S LOGAN ST # 31
Second Line	:
City	:	LENA
State	:	IL
Zip	:	61048-9205
Country	:	US
Telephone Number	:	815-242-2493
Fax Number	:

Authorized Official
Title or Position	:	MANAGER/OWNER
Name	:	ERAN M SMITH
Credential	:	LCPC
Telephone Number	:	815-242-2493

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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