person
Mr. John Martin Raine, LCPC
Professional Counselor in Chicago, Illinois
NPI 1770687030

John Martin Raine is a Professional Counselor based in Glenview, IL and is specialized in Professional. John Martin Raine practices in Chicago, IL and has the professional credentials of LCPC. The NPI Number for John Martin Raine is 1770687030 and holds a License No. (Illinois).

The current practice location address for John Martin Raine is Advocate Health Center Specialty 4, Chicago, IL and can be reached out via phone at 312-808-4589 and via fax at 312-842-7859.

Location: Advocate Health Center Specialty 4, Chicago, IL, 60025-4870
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Provider Profile Details
NPI Number
1770687030
Provider Name
John Martin Raine
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
Advocate Health Center Specialty 4, Chicago, IL, 60025-4870
Phone Number
312-808-4589
Fax Number
312-842-7859
Provider Enumeration Date
09/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0001625669 01 IL BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
Advocate Health Center Specialty 4
City
State
Zip
60616
Phone Number
312-808-4589
Fax Number
312-842-7859
person
Provider Business Mailing Address Details
Address
Advocate Health Center Specialty 4
City
State
Zip
60616
Phone Number
312-808-4589
Fax Number
312-842-7859
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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