Sheila Dunn
Individual provider Active NPI Professional Counselor · Lake Bluff, IL
NPI 1699174268 · NPPES record last updated Aug 19, 2014
Key facts
- NPI
- 1699174268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 178.010017 (IL)
- Practice address
- 900 North Shore Dr
Lake Bluff, IL 60044-2243 - Phone
- (847) 457-6730
- NPI assigned
- Aug 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.010017 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.010017 | IL | Yes |
Addresses
Primary practice location
900 North Shore Dr
Lake Bluff, IL 60044-2243
Mailing address
900 North Shore Dr
Lake Bluff, IL 60044-2243
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All providers in Lake Bluff, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.