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NPI Code Detail

MEDICARE: ROBERT NARCISO LPC

MEDICARE: ROBERT NARCISO 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1932760840
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT NARCISO LPC
Provider Business Mailing Address
First Line : 4849 N MILWAUKEE AVE STE 503
Second Line :
City : CHICAGO
State : IL
Zip : 60630-2191
Country : US
Telephone Number : 773-492-0913
Fax Number :
Provider Business Practice Location Address
First Line : 4849 N MILWAUKEE AVE STE 503
Second Line :
City : CHICAGO
State : IL
Zip : 60630-2191
Country : US
Telephone Number : 773-492-0913
Fax Number : 708-249-0613
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2019
Last Update Date : 06/23/2019

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