MEDICARE: ANNE FLANNERY LPC

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	178.021114	IL
2	251S00000X	Community/Behavioral Health Agency	178.021114	IL

General Provider Information

NPI Number	:	1538977269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE FLANNERY LPC

Provider Business Mailing Address
First Line	:	839 W WELLINGTON AVE APT 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-9717
Country	:	US
Telephone Number	:	440-221-6948
Fax Number	:

Provider Business Practice Location Address
First Line	:	655 W IRVING PARK RD APT 4304
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-6300
Country	:	US
Telephone Number	:	773-304-8723
Fax Number	:

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

Provider Enumeration Date	:	12/27/2024
Last Update Date	:	04/20/2026

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Directions to “ ANNE FLANNERY LPC” Practice Location

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