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NPI Code Detail

MEDICARE: BRYAN BUGAY LCPC

MEDICARE:   BRYAN  BUGAY  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
1101YP2500XProfessional Counselor180005135IL

General Provider Information

NPI Number : 1720226905
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN BUGAY LCPC
Provider Business Mailing Address
First Line : 2020 OAKTON ST
Second Line :
City : PARK RIDGE
State : IL
Zip : 60068-1958
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2020 OAKTON ST
Second Line :
City : PARK RIDGE
State : IL
Zip : 60068-1958
Country : US
Telephone Number : 773-318-8959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2009
Last Update Date : 03/11/2026

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Directions to “ BRYAN BUGAY LCPC” Practice Location

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