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NPI Code Detail

MEDICARE: STEPHANIE LILLY MA, LCPC

MEDICARE: STEPHANIE LILLY MA, 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
1101YP2500XProfessional Counselor180007625IL

General Provider Information

NPI Number : 1588974711
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE LILLY MA, LCPC
Provider Business Mailing Address
First Line : 70 S RIVER ST
Second Line :
City : AURORA
State : IL
Zip : 60506-5185
Country : US
Telephone Number : 630-844-2662
Fax Number : 630-844-3084
Provider Business Practice Location Address
First Line : 70 S RIVER ST
Second Line :
City : AURORA
State : IL
Zip : 60506-5185
Country : US
Telephone Number : 630-844-2662
Fax Number : 630-844-3084
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2010
Last Update Date : 10/29/2025

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Directions to “ STEPHANIE LILLY MA, LCPC” Practice Location

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