Lolan Panaligan Adan, LCPC

Individual provider Active NPI Professional Counselor · Chicago, IL

NPI 1164074324 · NPPES record last updated Apr 4, 2025

Key facts

NPI
1164074324
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
180016395 (IL)
Practice address
3660 N Lake Shore Dr Ste 201
Chicago, IL 60613-5302
Phone
(442) 264-7589
NPI assigned
Jul 9, 2019
Sex
Male
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
180016395ILMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180016395 IL Yes

Addresses

Primary practice location

3660 N Lake Shore Dr Ste 201
Chicago, IL 60613-5302

Mailing address

1700 E 56TH St Apt 1307
Chicago, IL 60637-5080
Phone (917) 575-7347

Other providers in Chicago, IL

All providers in Chicago, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.