MEDICARE: MR. EDWIN JOSEPH LACHETA JR. MS

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	101YM0800X	Mental Health Counselor
2	106H00000X	Marriage & Family Therapist	166000206	IL
3	101YM0800X	Mental Health Counselor	180001035	IL

General Provider Information

NPI Number	:	1518005768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EDWIN JOSEPH LACHETA JR. MS

Provider Business Mailing Address
First Line	:	1305 W S 11TH STREET
Second Line	:
City	:	SHELBYVILLE
State	:	IL
Zip	:	62565-9205
Country	:	US
Telephone Number	:	217-774-5861
Fax Number	:	217-774-2256

Provider Business Practice Location Address
First Line	:	2 W ADAMS
Second Line	:
City	:	SULLIVAN
State	:	IL
Zip	:	61951-1943
Country	:	US
Telephone Number	:	217-728-8319
Fax Number	:	217-774-2256

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

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	02/26/2024

Similar Medicare Providers

1376545509 — FAISAL BUKHARI MD SC
Practice Location Address:

2 W ADAMS ST
SULLIVAN, IL
61951-1943

Practice Phone: 217-728-7353
Practice Fax: 217-728-2580

1801898085 — MS. JOYA RYAN APN/CNP
Practice Location Address:

2 W ADAMS ST
SULLIVAN, IL
61951-1943

Practice Phone: 217-728-7353
Practice Fax: 217-728-2580

1235241001 — DR. WILLIAM DOUGLAS HAVLIK DMD
Practice Location Address:

2 WEST ADAMS
SULLIVAN, IL
61951-1943

Practice Phone: 217-728-8711
Practice Fax: 217-728-2580

1831361344 — RURAL HEALTH CLINIC OF MOULTRIE COUNTY LLC
Practice Location Address:

2 W ADAMS
SULLIVAN, IL
61951-1943

Practice Phone: 217-728-7353
Practice Fax: 217-728-2580

1669776829 — FAISAL BUKHARI MD SC
Practice Location Address:

2 W. ADAMS
SULLIVAN, IL
61951-1943

Practice Phone: 217-728-7353
Practice Fax: 217-728-2580

1255826814 — HAYLEY YODER NP-C
Practice Location Address:

2 W ADAMS ST
SULLIVAN, IL
61951-1943

Practice Phone: 217-728-7353
Practice Fax:

Directions to “ MR. EDWIN JOSEPH LACHETA JR. MS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.