MEDICARE: JESSICA ANDRICK, 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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1558229302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JESSICA ANDRICK, PLLC

Provider Business Mailing Address
First Line	:	4849 N MOODY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-2909
Country	:	US
Telephone Number	:	847-340-2377
Fax Number	:

Provider Business Practice Location Address
First Line	:	4849 N MOODY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-2909
Country	:	US
Telephone Number	:	847-340-2377
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR/OWNER
Name	:	JESSICA ANDRICK
Credential	:	LCPC
Telephone Number	:	773-273-9135

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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