MEDICARE: TIMOTHY A NAUS LPC

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	178.022038	IL

General Provider Information

NPI Number	:	1841170289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY A NAUS LPC

Provider Business Mailing Address
First Line	:	3742 N MAGNOLIA AVE APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-3846
Country	:	US
Telephone Number	:	570-764-1475
Fax Number	:

Provider Business Practice Location Address
First Line	:	3742 N MAGNOLIA AVE APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-3846
Country	:	US
Telephone Number	:	570-764-1475
Fax Number	:

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

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

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Directions to “ TIMOTHY A NAUS LPC” Practice Location

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