Provider Demographics
NPI:1770846339
Name:SZWALEK, LAURA MARGARET (LCPC)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:MARGARET
Last Name:SZWALEK
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 N. LAKEVIEW AVE
Mailing Address - Street 2:#1703
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-2739
Mailing Address - Country:US
Mailing Address - Phone:312-282-2610
Mailing Address - Fax:
Practice Address - Street 1:2400 N. LAKEVIEW AVE
Practice Address - Street 2:#1703
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-2739
Practice Address - Country:US
Practice Address - Phone:312-282-2610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008213101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor