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NPI Code Detail

MEDICARE: LAURA CONNOR

MEDICARE: LAURA CONNOR
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 : 1750784237
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA CONNOR
Provider Business Mailing Address
First Line : 8 S MICHIGAN AVE STE 2800
Second Line :
City : CHICAGO
State : IL
Zip : 60603-3326
Country : US
Telephone Number : 630-730-1722
Fax Number :
Provider Business Practice Location Address
First Line : 8 S MICHIGAN AVE STE 2800
Second Line :
City : CHICAGO
State : IL
Zip : 60603-3326
Country : US
Telephone Number : 630-730-1722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2014
Last Update Date : 03/25/2024

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Directions to “ LAURA CONNOR ” Practice Location

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