MEDICARE: GINA LINDA TABACCHI 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
1	101YP2500X	Professional Counselor	180-003424	IL

General Provider Information

NPI Number	:	1942393657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINA LINDA TABACCHI LCPC

Provider Business Mailing Address
First Line	:	5100 N RAVENSWOOD AVE
Second Line	:	SUITE 211
City	:	CHICAGO
State	:	IL
Zip	:	60640-1710
Country	:	US
Telephone Number	:	312-588-9977
Fax Number	:	312-329-1248

Provider Business Practice Location Address
First Line	:	5100 N RAVENSWOOD AVE
Second Line	:	SUITE 211
City	:	CHICAGO
State	:	IL
Zip	:	60640-1710
Country	:	US
Telephone Number	:	312-588-9977
Fax Number	:	312-329-1248

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	03/21/2017

Similar Medicare Providers

1669324695 — CHUNXIN CHANG
Practice Location Address:

5100 N RAVENSWOOD AVE STE 107
CHICAGO, IL
60640-1710

Practice Phone: 773-828-9506
Practice Fax:

1487619672 — DR. DAVID LAWRENCE GOLDBERG M.D.
Practice Location Address:

5100 N RAVENSWOOD AVE STE 220
CHICAGO, IL
60640-1710

Practice Phone: 312-972-6432
Practice Fax: 312-264-2554

1942324165 — MRS. SUZANNE CARMEN GASS L.C.S.W.
Practice Location Address:

5100 N RAVENSWOOD AVE # 203
CHICAGO, IL
60640-1710

Practice Phone: 773-490-9643
Practice Fax:

1184848103 — SIMONA BOMMARITO GRABOWSKI LCSW
Practice Location Address:

5100 N RAVENSWOOD AVE STE 203
CHICAGO, IL
60640-1710

Practice Phone: 312-927-0049
Practice Fax:

1942473715 — SUZANNE GASS LCSW, PC
Practice Location Address:

5100 N RAVENSWOOD AVE # 203
CHICAGO, IL
60640-1710

Practice Phone: 773-490-9643
Practice Fax:

1801120647 — DR. SARA PATTERSON LACASSE PH.D.
Practice Location Address:

5100 N RAVENSWOOD AVE
CHICAGO, IL
60640-1710

Practice Phone: 617-429-6129
Practice Fax:

Directions to “ GINA LINDA TABACCHI LCPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.