Mrs Portia Brock, LPC - Counselor in Chicago, IL

Mrs Portia Brock, LPC is a Counselor - Mental Health based in Chicago, Illinois. Mrs Portia Brock is licensed to practice in Illinois (license number 178018863) and her current practice location is 566 W Lake St Ste 200, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at (312) 371-5680.

NPI number for Mrs Portia Brock is 1316653199 and her current mailing address is 3152 W 84th St, Chicago, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316653199.

Contact Information

Mrs Portia Brock, LPC
566 W Lake St Ste 200,
Chicago, IL 60661-1413
(312) 371-5680
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Portia Brock
GenderFemale
SpecialityCounselor - Mental Health
Location566 W Lake St Ste 200, Chicago, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316653199
  • Provider Enumeration Date: 01/25/2023
  • Last Update Date: 01/25/2023

Medical Identifiers

Medical identifiers for Mrs Portia Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316653199NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 178018863 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Portia Brock is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Portia Brock, LPC
3152 W 84th St,
Chicago, IL 60652-3425

Ph: (773) 512-6773
Mrs Portia Brock, LPC
566 W Lake St Ste 200,
Chicago, IL 60661-1413

Ph: (312) 371-5680

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