DANE J DAVLANTIS


Address: 7707 W Irving Park Rd Apt 403, Chicago, IL 60634-2192
Phone: 7736560960

DANE J DAVLANTIS (NPI# 1508239849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508239849
Entity Type Individual
Full Name DANE J DAVLANTIS
Credential LPC
Practice Address 7707 W Irving Park Rd Apt 403
Chicago
IL 60634-2192
Practice Telephone 7736560960
Mailing Telephone 7736560960
Enumeration Date 2015-11-09
Last Update Date 2015-11-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
178.010883 IL Behavioral Health & Social Service Providers

Office Location

Street Address 7707 W IRVING PARK RD APT 403
City CHICAGO
State IL
Zip Code 60634-2192

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60634

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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