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NPI Code Detail

MEDICARE: LOGAN DANIELLE CHAMBERS

MEDICARE:   LOGAN DANIELLE CHAMBERS
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
1101YP2500XProfessional Counselor178.015337IL

General Provider Information

NPI Number : 1821632910
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOGAN DANIELLE CHAMBERS
Provider Business Mailing Address
First Line : 2756 BELLWOOD AVE
Second Line :
City : MELROSE PARK
State : IL
Zip : 60164-1507
Country : US
Telephone Number : 847-274-5982
Fax Number :
Provider Business Practice Location Address
First Line : 530 MAPLE DR
Second Line :
City : STREAMWOOD
State : IL
Zip : 60107-3163
Country : US
Telephone Number : 847-274-5982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2019
Last Update Date : 05/21/2024

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Directions to “ LOGAN DANIELLE CHAMBERS ” Practice Location

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