MEDICARE: LYNN RODGERS 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
1	101YP2500X	Professional Counselor		IL
2	106H00000X	Marriage & Family Therapist		IL

General Provider Information

NPI Number	:	1780632448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNN RODGERS LCPC

Provider Business Mailing Address
First Line	:	241 GOLF MILL CTR
Second Line	:	SUITE 726
City	:	NILES
State	:	IL
Zip	:	60714-1224
Country	:	US
Telephone Number	:	847-824-7200
Fax Number	:	847-824-7300

Provider Business Practice Location Address
First Line	:	241 GOLF MILL CTR
Second Line	:	SUITE 726
City	:	NILES
State	:	IL
Zip	:	60714-1224
Country	:	US
Telephone Number	:	847-824-7200
Fax Number	:	847-824-7300

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	09/11/2025

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