MEDICARE: LAUREN K SCHMIDT

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
1	101YM0800X	Mental Health Counselor	149.025891	IL

General Provider Information

NPI Number	:	1770124935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN K SCHMIDT

Provider Business Mailing Address
First Line	:	5425 N NORMANDY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60656-2119
Country	:	US
Telephone Number	:	630-439-5358
Fax Number	:

Provider Business Practice Location Address
First Line	:	5425 N NORMANDY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60656-2119
Country	:	US
Telephone Number	:	630-439-5358
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2019
Last Update Date	:	06/05/2026

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