DR. FRED LEE NANCE PHD M.A. NPI 1932614831

NPI Information

  • NPI: 1932614831
  • Provider Name: DR. FRED LEE NANCE, PHD, M.A.
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 17239 EVANS AVE
    SOUTH HOLLAND, IL
    ZIP 60473
  • Phone: (708) 921-1395

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NPI Details

DR. Fred Lee Nance, PHD, M.A. is an addiction (substance use disorder) counselor in South Holland, IL. DR. Fred Lee Nance, PHD, M.A. NPI is 1932614831. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17239 EVANS AVE
SOUTH HOLLAND, IL
ZIP 60473-436
Phone: (708) 921-1395

The enumeration date for this NPI number is 12/13/2017 and was last updated on 12/18/2017.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)22860ILLINOISYes

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: 11/21/2025

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