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NPI Code Detail

MEDICARE: JUANA PFADT

MEDICARE: JUANA PFADT
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1720937089
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUANA PFADT
Provider Business Mailing Address
First Line : 77 W WASHINGTON ST STE 1500
Second Line :
City : CHICAGO
State : IL
Zip : 60602-3219
Country : US
Telephone Number : 773-980-9769
Fax Number :
Provider Business Practice Location Address
First Line : 77 W WASHINGTON ST STE 1500
Second Line :
City : CHICAGO
State : IL
Zip : 60602-3219
Country : US
Telephone Number : 773-980-9769
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2026
Last Update Date : 01/28/2026

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Directions to “ JUANA PFADT ” Practice Location

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