MEDICARE: DANIELLE N KEPLER

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	101YM0800X	Mental Health Counselor	180008287	IL

General Provider Information

NPI Number	:	1972848810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE N KEPLER

Provider Business Mailing Address
First Line	:	410 S MICHIGAN AVE
Second Line	:	SUITE 928
City	:	CHICAGO
State	:	IL
Zip	:	60605-1308
Country	:	US
Telephone Number	:	312-248-3190
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 S MICHIGAN AVE
Second Line	:	SUITE 928
City	:	CHICAGO
State	:	IL
Zip	:	60605-1308
Country	:	US
Telephone Number	:	312-248-3190
Fax Number	:

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

Provider Enumeration Date	:	12/04/2012
Last Update Date	:	11/25/2016

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Directions to “ DANIELLE N KEPLER ” Practice Location

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