Kristy Cahill, LPC

Individual provider Active NPI Professional Counselor · Oswego, IL

NPI 1730645409 · NPPES record last updated Feb 18, 2019

Key facts

NPI
1730645409
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
178014331 (IL)
Practice address
62 S Madison St
Oswego, IL 60543-9806
Phone
(847) 868-3435
Fax
(847) 859-5885
NPI assigned
Feb 18, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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
178014331ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
PHC of Buffalo Grove Nutrition Past
since Jan 1, 2013
Accepting new patients
PHC of Buffalo Grove Clinical Psychology Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178014331 IL Yes

Addresses

Primary practice location

62 S Madison St
Oswego, IL 60543-9806

Mailing address

175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454
Phone (847) 737-8768

Other practice location 1

1222 N Eola Rd
Aurora, IL 60502-9409
Phone (847) 868-3435

Other providers in Oswego, IL

All providers in Oswego, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.