Individual provider · Type 1 NPI
Audra K. Eisin-Banazek, L.C.P.C
Professional Counselor · Chicago, IL
NPI number
1760013023
Active
Practice location
1309 W Columbia Ave
Chicago, IL 60626-4325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.008801 (IL) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1760013023
Audra K. Eisin-Banazek, L.C.P.C's National Provider Identifier is 1760013023, issued on Jan 27, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jan 27, 2020.