MEDICARE: OASIS PROJECT, PLLC

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

General Provider Information

NPI Number	:	1871248427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS PROJECT, PLLC

Provider Business Mailing Address
First Line	:	5040 S KEATING AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60632-4919
Country	:	US
Telephone Number	:	312-605-8567
Fax Number	:

Provider Business Practice Location Address
First Line	:	5040 S KEATING AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60632-4919
Country	:	US
Telephone Number	:	312-605-8567
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR/OWNER
Name	:	ERIKA LUNA
Credential	:
Telephone Number	:	312-605-8567

Provider Enumeration Date	:	02/12/2022
Last Update Date	:	02/12/2022

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