Individual
MS. GEORGETTE ELAINE LEPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
3660 N LAKE SHORE DRIVE, UNIT 3010, CHICAGO, IL 60613-5314
(708) 373-1952
(847) 675-7167
Mailing address
3660 N LAKE SHORE DRIVE, UNIT 3010, CHICAGO, IL 60613-5314
(708) 373-1952
(847) 675-7167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180000239
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01626639
BLUE CROSS
IL
Enumeration date
11/06/2006
Last updated
12/04/2024
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