MEDICARE: SPRING ADVISORY PLLC

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	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1639848567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRING ADVISORY PLLC

Provider Business Mailing Address
First Line	:	3302 N LINCOLN AVE # 300
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-1108
Country	:	US
Telephone Number	:	312-380-1713
Fax Number	:

Provider Business Practice Location Address
First Line	:	3302 N LINCOLN AVE # 300
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-1108
Country	:	US
Telephone Number	:	312-380-1713
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MS. SHAN RU LIN
Credential	:	LCPC ATRBC ATCS
Telephone Number	:	609-529-0708

Provider Enumeration Date	:	09/13/2021
Last Update Date	:	06/12/2026

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