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NPI Code Detail

MEDICARE: MS. JILL WESTERFELHAUS LCPC

MEDICARE:  MS. JILL  WESTERFELHAUS  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 CounselorIL

General Provider Information

NPI Number : 1760405724
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JILL WESTERFELHAUS LCPC
Provider Business Mailing Address
First Line : 4740 N CLARK ST
Second Line :
City : CHICAGO
State : IL
Zip : 60640-4689
Country : US
Telephone Number : 773-765-0735
Fax Number : 773-765-0730
Provider Business Practice Location Address
First Line : 4740 N CLARK ST
Second Line :
City : CHICAGO
State : IL
Zip : 60640-4689
Country : US
Telephone Number : 773-765-0735
Fax Number : 773-765-0730
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 07/08/2007

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Directions to “ MS. JILL WESTERFELHAUS LCPC” Practice Location

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