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NPI Code Detail

MEDICARE: ALICE BIGELOW LCPC

MEDICARE: ALICE BIGELOW 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 Counselor180016787IL

General Provider Information

NPI Number : 1619754322
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICE BIGELOW LCPC
Provider Business Mailing Address
First Line : 53 W JACKSON BLVD STE 520
Second Line :
City : CHICAGO
State : IL
Zip : 60604-3433
Country : US
Telephone Number : 224-202-6260
Fax Number :
Provider Business Practice Location Address
First Line : 53 W JACKSON BLVD STE 520
Second Line :
City : CHICAGO
State : IL
Zip : 60604-3433
Country : US
Telephone Number : 224-202-6260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2023
Last Update Date : 03/15/2025

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Directions to “ ALICE BIGELOW LCPC” Practice Location

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