MEDICARE: FRANK C PERHAM 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	101YM0800X	Mental Health Counselor	1409	MA
2	101YP2500X	Professional Counselor		IL

General Provider Information

NPI Number	:	1780800060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK C PERHAM LCPC

Provider Business Mailing Address
First Line	:	5901 N SHERIDAN RD
Second Line	:	#6G
City	:	CHICAGO
State	:	IL
Zip	:	60660-3616
Country	:	US
Telephone Number	:	773-334-6514
Fax Number	:

Provider Business Practice Location Address
First Line	:	5901 N SHERIDAN RD
Second Line	:	#6G
City	:	CHICAGO
State	:	IL
Zip	:	60660-3616
Country	:	US
Telephone Number	:	773-334-6514
Fax Number	:

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

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	09/11/2025

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