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NPI Code Detail

MEDICARE: AMANDA NIRO LPC

MEDICARE: AMANDA NIRO 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
1101Y00000XCounselor178.021519IL

General Provider Information

NPI Number : 1881480838
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA NIRO LPC
Provider Business Mailing Address
First Line : 25 E WASHINGTON ST STE 1835
Second Line :
City : CHICAGO
State : IL
Zip : 60602-1836
Country : US
Telephone Number : 312-940-3655
Fax Number : 312-374-4966
Provider Business Practice Location Address
First Line : 25 E WASHINGTON ST STE 1835
Second Line :
City : CHICAGO
State : IL
Zip : 60602-1836
Country : US
Telephone Number : 312-940-3655
Fax Number : 312-374-4966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2025
Last Update Date : 12/08/2025

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