MEDICARE: KATHRYN GRACE CHAPMAN 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	180009670	IL

General Provider Information

NPI Number	:	1679930200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN GRACE CHAPMAN LCPC

Provider Business Mailing Address
First Line	:	2656 W MONTROSE AVE STE 106
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-1563
Country	:	US
Telephone Number	:	773-217-9087
Fax Number	:

Provider Business Practice Location Address
First Line	:	2656 W MONTROSE AVE STE 106
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-1563
Country	:	US
Telephone Number	:	773-217-9087
Fax Number	:

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

Provider Enumeration Date	:	01/27/2016
Last Update Date	:	01/19/2026

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