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NPI Code Detail

MEDICARE: LORI TOLAN LCPC

MEDICARE:   LORI  TOLAN  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
1101YM0800XMental Health CounselorLMHC10000280MA
2390200000XStudent in an Organized Health Care Education/Training Program
3101YM0800XMental Health Counselor180011581IL

General Provider Information

NPI Number : 1740681410
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI TOLAN LCPC
Provider Business Mailing Address
First Line : 910 SKOKIE BLVD STE 215
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-4033
Country : US
Telephone Number : 224-326-0151
Fax Number :
Provider Business Practice Location Address
First Line : 910 SKOKIE BLVD STE 215
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-4033
Country : US
Telephone Number : 847-480-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2014
Last Update Date : 05/08/2025

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Directions to “ LORI TOLAN LCPC” Practice Location

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