MEDICARE: RIANA VOIGT

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1639735533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RIANA VOIGT

Provider Business Mailing Address
First Line	:	155 N MICHIGAN AVE STE 201
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-7940
Country	:	US
Telephone Number	:	312-819-7381
Fax Number	:

Provider Business Practice Location Address
First Line	:	4133 N LAWNDALE AVE UNIT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-2006
Country	:	US
Telephone Number	:	310-995-5621
Fax Number	:

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

Provider Enumeration Date	:	05/15/2019
Last Update Date	:	08/05/2024

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Directions to “ RIANA VOIGT ” Practice Location

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