Active NPI
Petru V Ilie, LPC (IN PROCESS)
- Professional Counselor
- Chicago, IL
National Provider Identifier
1639919145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 6232 N Pulaski Rd Ste 400
Chicago, IL 60646-5133 - Phone
- (312) 725-3093
- NPI assigned
- May 31, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | IL | ||
| Mental Health Counselor | 101YM0800X | IL | ||
| Professional Counselor | 101YP2500X | IL | Primary |
Addresses
Primary practice location
6232 N Pulaski Rd Ste 400
Chicago, IL 60646-5133
Mailing address
4672 N Manor Ave Apt 1
Chicago, IL 60625-3775
Phone (224) 383-4126
Other practice location 1
30 N Michigan Ave Ste 1217
Chicago, IL 60602-3732
Phone (312) 725-3093
Other practice location 2
4672 N Manor Ave Apt 1
Chicago, IL 60625-3775
Phone (224) 383-4126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1639919145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4672 N MANOR AVE APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253775",
"telephone_number": "224-383-4126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6232 N PULASKI RD STE 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465133",
"telephone_number": "312-725-3093"
}
],
"practiceLocations": [
{
"address_1": "30 N Michigan Ave Ste 1217",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606023732",
"country_code": "US",
"telephone_number": "312-725-3093",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4672 N Manor Ave Apt 1",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606253775",
"country_code": "US",
"telephone_number": "224-383-4126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ILIE",
"first_name": "PETRU",
"middle_name": "V",
"credential": "LPC (IN PROCESS)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-31",
"last_updated": "2024-05-31",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.