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NPI Code Detail

MEDICARE: DR. LAUREN MCKENNA LMFT

MEDICARE: DR. LAUREN MCKENNA LMFT
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
1106H00000XMarriage & Family Therapist166001167IL

General Provider Information

NPI Number : 1811437312
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN MCKENNA LMFT
Provider Business Mailing Address
First Line : 2103 N HUDSON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60614-0660
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 150 S WACKER DR STE 2400
Second Line :
City : CHICAGO
State : IL
Zip : 60606-4211
Country : US
Telephone Number : 708-824-8627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2017
Last Update Date : 05/29/2025

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Directions to “ DR. LAUREN MCKENNA LMFT” Practice Location

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