Walter Lisatowicz, BSW
Individual provider Active NPI Mental Health Counselor · Wheaton, IL
NPI 1851665517 · NPPES record last updated Feb 28, 2012
Key facts
- NPI
- 1851665517
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 422 N Prospect St
Wheaton, IL 60187-5839 - Phone
- (630) 682-7400
- NPI assigned
- Feb 28, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
422 N Prospect St
Wheaton, IL 60187-5839
Mailing address
111 N County Farm Rd
Wheaton, IL 60187-3977
Other providers in Wheaton, IL
- Linda Roberts & Associates Inc
- Andrew O. Linder
- Dolores Delacruz Lindsey
- Ryan Linford
- Lisa Ridinger PC
- Bethany Louise Litchfield
- Jakob Dylan Little I
- Kristy Littlefield
- Litwicki Counseling PLLC
- Jonathan Liu
All providers in Wheaton, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.