MEDICARE: FELICIA MUHAMMAD

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	178010947	IL
2	101YP2500X	Professional Counselor	178010947	IL
3	101YS0200X	School Counselor	178010947	IL
4	101Y00000X	Counselor	178010947	IL

General Provider Information

NPI Number	:	1912503731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELICIA MUHAMMAD

Provider Business Mailing Address
First Line	:	7320 S BELL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60636-3624
Country	:	US
Telephone Number	:	773-430-1514
Fax Number	:

Provider Business Practice Location Address
First Line	:	7320 S BELL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60636-3624
Country	:	US
Telephone Number	:	773-430-1514
Fax Number	:

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

Provider Enumeration Date	:	12/07/2020
Last Update Date	:	12/07/2020

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Directions to “ FELICIA MUHAMMAD ” Practice Location

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