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NPI Code Detail

MEDICARE: SANDRA LUKASHEVICH LCPC

MEDICARE: SANDRA LUKASHEVICH 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 Counselor180011276IL
2101YP2500XProfessional Counselor178009669IL

General Provider Information

NPI Number : 1962870600
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA LUKASHEVICH LCPC
Provider Business Mailing Address
First Line : 1629 KILLDEER DR
Second Line :
City : NAPERVILLE
State : IL
Zip : 60565-2324
Country : US
Telephone Number : 630-857-3073
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 :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2015
Last Update Date : 02/18/2025

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Directions to “ SANDRA LUKASHEVICH LCPC” Practice Location

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