MEREDITH RAQUE LCPC NPI 1437718632

NPI Information

NPI: 1437718632
Provider Name: MEREDITH RAQUE, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
30 N MICHIGAN AVE STE 424
CHICAGO, IL
ZIP 60602
Phone: (312) 279-9981
Get Directions

Meredith Raque, LCPC is a professional counselor in Chicago, IL. Meredith Raque, LCPC NPI is 1437718632. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

30 N MICHIGAN AVE STE 424
CHICAGO, IL
ZIP 60602-844
Phone: (312) 279-9981
Fax: (312) 279-9981

The enumeration date for this NPI number is 6/11/2019 and was last updated on 2/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	221700000X	Art Therapist		178014741	ILLINOIS	No
2	101YP2500X	Counselor	Professional	180014143	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	180014143	OTHER	ILLINOIS	STATE OF ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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