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Yvette Aguilar

Individual provider Active NPI Professional Counselor · Glen Ellyn, IL

NPI 1548836802 · NPPES record last updated May 27, 2021

Key facts

NPI
1548836802
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
180.013379 (IL)
Practice address
526 Crescent Blvd Ste 322
Glen Ellyn, IL 60137-4181
Phone
(630) 981-7625
NPI assigned
May 27, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
180.013379ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Dupage Family and Youth Services Professional Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.013379 IL Yes

Addresses

Primary practice location

526 Crescent Blvd Ste 322
Glen Ellyn, IL 60137-4181

Mailing address

1410 Merrimac LN N
Hanover Park, IL 60133-6212
Phone (630) 956-8604

Other providers in Glen Ellyn, IL

All providers in Glen Ellyn, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.