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Organization

PATRICIA HARTHUN LCPC LTD

Active
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Organization

PATRICIA HARTHUN LCPC LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA HARTHUN LCPC (OWNER)
(312) 835-7976
Entity
Organization

Contact information

Practice address
10725 S WESTERN AVE, 2ND FLOOR, CHICAGO, IL 60643-3135
(312) 835-7976
(773) 239-9857
Mailing address
10725 S WESTERN AVE, 2ND FLOOR, CHICAGO, IL 60643-3135
(312) 835-7976
(773) 239-9857

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180005415
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1306866132
SOLE PRACTIONER NPI
Enumeration date
06/30/2015
Last updated
06/30/2015
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