Lilly Crimmins, LPC

Individual provider Active NPI Professional Counselor · Inverness, IL

NPI 1104286145 · NPPES record last updated Mar 3, 2016

Key facts

NPI
1104286145
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
178011403 (IL)
Practice address
1644 W Colonial Pkwy
Inverness, IL 60067-1207
Phone
(847) 776-4500
Fax
(847) 776-4724
NPI assigned
Mar 3, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
178011403ILMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178011403 IL Yes

Addresses

Primary practice location

1644 W Colonial Pkwy
Inverness, IL 60067-1207

Mailing address

1644 W Colonial Pkwy
Inverness, IL 60067-1207
Phone (847) 776-4500

Other providers in Inverness, IL

All providers in Inverness, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.