MEDICARE: ABBIE LYNN CRONIN M.A., L.C.P.C.

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	180-002074	IL

General Provider Information

NPI Number	:	1831245828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBIE LYNN CRONIN M.A., L.C.P.C.

Provider Business Mailing Address
First Line	:	50 INDI ILLI PKWY
Second Line	:
City	:	HAMMOND
State	:	IN
Zip	:	46324-1444
Country	:	US
Telephone Number	:	312-320-0929
Fax Number	:	937-347-5406

Provider Business Practice Location Address
First Line	:	4611 N RAVENSWOOD AVE STE 105
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-7569
Country	:	US
Telephone Number	:	773-201-0060
Fax Number	:	937-347-5406

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

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	11/24/2015

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