Alec Ducham, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178020678 Issued in IL

Practice address

3317 W 95TH St Ste 101
Evergreen Park, IL 60805-2243

Phone

(708) 529-3011

NPI assigned

Oct 8, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1780403600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 W 95TH ST STE 101",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052243",
            "telephone_number": "708-529-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 W 95TH ST STE 101",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052243",
            "telephone_number": "708-529-3011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13114 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Blue Island",
            "state": "IL",
            "postal_code": "604062439",
            "country_code": "US",
            "telephone_number": "708-529-3011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUCHAM",
        "first_name": "ALEC",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178020678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr George Charuk S C
• Dr. Bela Pandit, PC (Pandit Foot and Ankle Clinic)
• Oliver H Drabkin, M.D.
• Zahera Drewek, OTR/L
• Stefan Dubas, DDS
• Aileen Marie Dukelow, R.D.
• Maggie Duque, MA
• Karianne Deborah Dvorak
• Vida Bernadette Dyson, PH.D.
• Carly Scot Eakin, PA-C

• Mental Health Counselor in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.