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NPI Code Detail

MEDICARE: DR. MARY ANN ANDRADE-BEKKER LCPC

MEDICARE: DR. MARY ANN ANDRADE-BEKKER 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 Counselor180.009455IL

General Provider Information

NPI Number : 1922498690
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY ANN ANDRADE-BEKKER LCPC
Provider Business Mailing Address
First Line : 2312 ARDAUGH AVE
Second Line :
City : CREST HILL
State : IL
Zip : 60403-1858
Country : US
Telephone Number : 773-771-0422
Fax Number :
Provider Business Practice Location Address
First Line : 600 S WASHINGTON ST STE 105
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-6665
Country : US
Telephone Number : 630-206-4060
Fax Number : 855-871-8351
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2015
Last Update Date : 01/03/2023

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