Individual
ERIN E MAGOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2525 S MICHIGAN AVE, LOWER LEVEL, CHICAGO, IL 60616-2333
(312) 567-2295
(312) 328-7808
Mailing address
2525 S MICHIGAN AVE, LOWER LEVEL, CHICAGO, IL 60616-2333
(312) 567-2295
(312) 328-7808
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
178-006250
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBSIL
IL
01
—
950150
MEDICARE GROUP
IL
Enumeration date
04/14/2010
Last updated
02/12/2024
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