Unknown Individual – Professional Counselor, NPI 1790765279
Professional Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
300 VALHALLA CIR
CRYSTAL LAKE, IL 600148238
Phone: (815) 455-4217
Fax: (847) 662-2159
Type: Mailing
4343, Old Grand Avenue, Gurnee, Lake County, Illinois, 60031, United States
SUITE 107 C
GURNEE, IL 600312767
Phone: (847) 662-2174
Fax: (847) 662-2159
Type: Location
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 60014)
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