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NPI Code Detail

MEDICARE: MS. PAULINA MALYSKO M.A., LPC

MEDICARE: MS. PAULINA MALYSKO M.A., LPC
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 Counselor180012483IL

General Provider Information

NPI Number : 1649692294
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAULINA MALYSKO M.A., LPC
Provider Business Mailing Address
First Line : 800 E NORTHWEST HWY
Second Line : SUITE 106B
City : MOUNT PROSPECT
State : IL
Zip : 60056-3457
Country : US
Telephone Number : 847-867-7924
Fax Number : 847-299-4952
Provider Business Practice Location Address
First Line : 20 N CLARK ST STE 2750
Second Line :
City : CHICAGO
State : IL
Zip : 60602-5103
Country : US
Telephone Number : 866-296-5262
Fax Number : 779-918-8198
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2014
Last Update Date : 04/04/2025

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