Provider Demographics
NPI:1932760840
Name:NARCISO, ROBERT (LPC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:NARCISO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4849 N MILWAUKEE AVE STE 503
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-2191
Mailing Address - Country:US
Mailing Address - Phone:773-492-0913
Mailing Address - Fax:
Practice Address - Street 1:4849 N MILWAUKEE AVE STE 503
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-2191
Practice Address - Country:US
Practice Address - Phone:773-492-0913
Practice Address - Fax:708-249-0613
Is Sole Proprietor?:No
Enumeration Date:2019-06-23
Last Update Date:2019-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health