MEDICARE: KATHERINE JANE FORD 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	180008034	IL

General Provider Information

NPI Number	:	1629838701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE JANE FORD LCPC

Provider Business Mailing Address
First Line	:	1018 S POPLAR AVE
Second Line	:
City	:	KANKAKEE
State	:	IL
Zip	:	60901-5556
Country	:	US
Telephone Number	:	815-263-0679
Fax Number	:

Provider Business Practice Location Address
First Line	:	265 STEBBINGS CT STE 1
Second Line	:
City	:	BRADLEY
State	:	IL
Zip	:	60915-1282
Country	:	US
Telephone Number	:	815-200-8653
Fax Number	:

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

Provider Enumeration Date	:	03/19/2024
Last Update Date	:	03/19/2024

Similar Medicare Providers

1538017868 — ELIZABETH SONNEVELD LPC
Practice Location Address:

265 STEBBINGS CT STE 1
BRADLEY, IL
60915-1282

Practice Phone: 815-200-8653
Practice Fax: 815-352-4141

1700333903 — AUTUMN KULCHAWIK
Practice Location Address:

265 STEBBINGS CT STE 1
BRADLEY, IL
60915-1282

Practice Phone: 602-919-1845
Practice Fax:

1609634344 — KATHLEEN MARY CONNELLY
Practice Location Address:

265 STEBBINGS CT STE 1
BRADLEY, IL
60915-1282

Practice Phone: 815-944-2753
Practice Fax:

1992558217 — MATTHEW PAUL HEDDING-HESS LPC
Practice Location Address:

265 STEBBINGS CT STE 1
BRADLEY, IL
60915-1282

Practice Phone: 815-200-8653
Practice Fax:

1730184862 — DR. RICHARD VAN TIL D.C.
Practice Location Address:

404 S KENNEDY DR
BRADLEY, IL
60915-2137

Practice Phone: 815-929-9296
Practice Fax: 815-929-9667

1992792527 — BRADLEY ROYALE, INC.
Practice Location Address:

650 NORTH KINZIE AVENUE
BRADLEY, IL
60915-1227

Practice Phone: 815-933-1666
Practice Fax: 815-933-9866

Directions to “ KATHERINE JANE FORD LCPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.