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NPI Code Detail

MEDICARE: CARA JAQUES LCPC

MEDICARE:   CARA  JAQUES  LCPC
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
1101YM0800XMental Health Counselor180.017860IL

General Provider Information

NPI Number : 1588517494
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA JAQUES LCPC
Provider Business Mailing Address
First Line : 1620 S MICHIGAN AVE UNIT 701
Second Line :
City : CHICAGO
State : IL
Zip : 60616-4818
Country : US
Telephone Number : 773-572-5500
Fax Number :
Provider Business Practice Location Address
First Line : 1620 S MICHIGAN AVE UNIT 701
Second Line :
City : CHICAGO
State : IL
Zip : 60616-4818
Country : US
Telephone Number : 773-572-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2026
Last Update Date : 02/19/2026

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Directions to “ CARA JAQUES LCPC” Practice Location

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