Chelsey O'Hanlon
Individual provider Active NPI Counselor · Berwyn, IL
NPI 1770969040 · NPPES record last updated Aug 10, 2015
Key facts
- NPI
- 1770969040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 6918 W Windsor Ave
Berwyn, IL 60402-3334 - Phone
- (708) 745-5277
- NPI assigned
- Aug 10, 2015
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
6918 W Windsor Ave
Berwyn, IL 60402-3334
Mailing address
6918 W Windsor Ave
Berwyn, IL 60402-3334
Phone (708) 745-5277
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2015. 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.