MEDICARE: STEPHANIE ANN BECK LCPC, M.A., M.ED.

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	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor	178.012117	IL

General Provider Information

NPI Number	:	1699024182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE ANN BECK LCPC, M.A., M.ED.

Provider Business Mailing Address
First Line	:	430 W ERIE ST STE 400
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-6918
Country	:	US
Telephone Number	:	312-643-0268
Fax Number	:

Provider Business Practice Location Address
First Line	:	1619 W LUNT AVE
Second Line	:	APT 2B
City	:	CHICAGO
State	:	IL
Zip	:	60626-2734
Country	:	US
Telephone Number	:	262-422-5592
Fax Number	:

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

Provider Enumeration Date	:	08/30/2012
Last Update Date	:	01/29/2025

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