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NPI Code Detail

MEDICARE: MARIA FERNANDA OCHOA GONZALEZ LCPC

MEDICARE: MARIA FERNANDA OCHOA GONZALEZ 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
1101YM0800XMental Health Counselor178017501IL
2101YM0800XMental Health Counselor180.017049IL

General Provider Information

NPI Number : 1932866878
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA FERNANDA OCHOA GONZALEZ LCPC
Provider Business Mailing Address
First Line : 320 WHITE PINES LN
Second Line :
City : OSWEGO
State : IL
Zip : 60543-8149
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 W IRVING PARK RD STE 104
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2596
Country : US
Telephone Number : 312-967-9291
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2021
Last Update Date : 08/22/2025

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