Unknown Individual – Professional Counselor, NPI 1255379012
Professional Counselor
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
8057, West Churchill Avenue, Niles, Maine Township, Cook County, Illinois, 60714, United States
NILES, IL 607141512
Phone: (847) 983-4022
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60714)
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