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NPI Code Detail

MEDICARE: ALLISON SCHENTRUP MA, AMFT

MEDICARE: ALLISON SCHENTRUP MA, AMFT
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
1106H00000XMarriage & Family Therapist208.000717IL

General Provider Information

NPI Number : 1699436881
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON SCHENTRUP MA, AMFT
Provider Business Mailing Address
First Line : 22 W WASHINGTON ST STE 1500
Second Line :
City : CHICAGO
State : IL
Zip : 60602-1607
Country : US
Telephone Number : 312-612-0125
Fax Number :
Provider Business Practice Location Address
First Line : 22 W WASHINGTON ST STE 1500
Second Line :
City : CHICAGO
State : IL
Zip : 60602-1607
Country : US
Telephone Number : 312-535-9090
Fax Number : 872-206-9591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2022
Last Update Date : 02/23/2022

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