MEDICARE: MELISSA TUCKER LPC

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	101Y00000X	Counselor
2	101YP2500X	Professional Counselor	178.014376	IL

General Provider Information

NPI Number	:	1780457952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA TUCKER LPC

Provider Business Mailing Address
First Line	:	4520 N WOLCOTT AVE APT 3A
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5247
Country	:	US
Telephone Number	:	773-209-8270
Fax Number	:

Provider Business Practice Location Address
First Line	:	3740 N WHIPPLE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-4527
Country	:	US
Telephone Number	:	773-916-6745
Fax Number	:

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

Provider Enumeration Date	:	10/31/2023
Last Update Date	:	01/11/2024

Similar Medicare Providers

1326996315 — WELL AND VESSEL PSYCHOTHERAPY, PLLC
Practice Location Address:

3722 N WHIPPLE ST
CHICAGO, IL
60618-4527

Practice Phone: 312-448-6313
Practice Fax:

1649325929 — DR. NELA RODRIGUEZ CORDERO M.D.
Practice Location Address:

2002 N DAMEN AVE
CHICAGO, IL
60647-4527

Practice Phone: 773-486-6553
Practice Fax:

1841313244 — MS. SHANNON MAY M.A. CCC-SLP
Practice Location Address:

4527 N ROCKWELL ST
CHICAGO, IL
60625-3020

Practice Phone: 773-425-5124
Practice Fax:

1043424450 — MAYA FAMILY MEDICAL CENTER
Practice Location Address:

4527 N PULASKI RD
CHICAGO, IL
60630

Practice Phone: 773-267-6617
Practice Fax: 773-267-0460

1245429133 — DR. YASSER AHMED ELSEWEIFI DDS
Practice Location Address:

2002 N DAMEN AVE
CHICAGO, IL
60647-4527

Practice Phone: 773-276-2757
Practice Fax: 773-276-2758

1285803791 — PERFECT MANAGED CARE LLC
Practice Location Address:

4527 N PULASKI RD
CHICAGO, IL
60630-4415

Practice Phone: 773-267-7060
Practice Fax: 773-267-4752

Directions to “ MELISSA TUCKER LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.