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NPI Code Detail

MEDICARE: ANGELA SCALISI LCPC, ATR-BC

MEDICARE:   ANGELA  SCALISI  LCPC, ATR-BC
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 Counselor180.015514IL

General Provider Information

NPI Number : 1659191617
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA SCALISI LCPC, ATR-BC
Provider Business Mailing Address
First Line : 608 N CHRISTIANA AVE APT 1
Second Line :
City : CHICAGO
State : IL
Zip : 60624-1432
Country : US
Telephone Number : 773-844-0522
Fax Number :
Provider Business Practice Location Address
First Line : 5339 W LAKE ST STE 434
Second Line :
City : CHICAGO
State : IL
Zip : 60644-2468
Country : US
Telephone Number : 773-844-0522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2024
Last Update Date : 10/15/2024

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Directions to “ ANGELA SCALISI LCPC, ATR-BC” Practice Location

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