MEDICARE: DAVID HOWSER M. DIV., 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
1	101YP2500X	Professional Counselor		IL

General Provider Information

NPI Number	:	1609928761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID HOWSER M. DIV., LCPC

Provider Business Mailing Address
First Line	:	6961 N OAKLEY AVE
Second Line	:	#102-A
City	:	CHICAGO
State	:	IL
Zip	:	60645-4751
Country	:	US
Telephone Number	:	773-450-3395
Fax Number	:

Provider Business Practice Location Address
First Line	:	5244 N LAKEWOOD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-2221
Country	:	US
Telephone Number	:	773-450-3395
Fax Number	:

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

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	07/08/2007

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