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NPI Code Detail

MEDICARE: KARLI ANNE KROK LPC

MEDICARE: KARLI ANNE KROK 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
1101Y00000XCounselor178.019221IL

General Provider Information

NPI Number : 1578243630
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLI ANNE KROK LPC
Provider Business Mailing Address
First Line : 3717 S PAULINA ST # 2
Second Line :
City : CHICAGO
State : IL
Zip : 60609-2045
Country : US
Telephone Number : 773-317-3713
Fax Number :
Provider Business Practice Location Address
First Line : 8770 W BRYN MAWR AVE STE 1300
Second Line :
City : CHICAGO
State : IL
Zip : 60631-3557
Country : US
Telephone Number : 312-768-8073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2023
Last Update Date : 07/24/2023

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Directions to “ KARLI ANNE KROK LPC” Practice Location

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