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NPI Code Detail

MEDICARE: MRS. KELLY ZIEMANN LCPC

MEDICARE: MRS. KELLY ZIEMANN 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
1101YP2500XProfessional Counselor180.009407IL
2101YP2500XProfessional Counselor178.008162IL

General Provider Information

NPI Number : 1861885873
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KELLY ZIEMANN LCPC
Provider Business Mailing Address
First Line : 8 S MICHIGAN AVE STE 2100
Second Line :
City : CHICAGO
State : IL
Zip : 60603-3337
Country : US
Telephone Number : 920-659-8374
Fax Number :
Provider Business Practice Location Address
First Line : 8 S MICHIGAN AVE STE 2100
Second Line :
City : CHICAGO
State : IL
Zip : 60603-3337
Country : US
Telephone Number : 920-659-8374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2015
Last Update Date : 03/16/2015

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Directions to “ MRS. KELLY ZIEMANN LCPC” Practice Location

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