OrganizationActive
247dct
NPI 1669104832 · Mental Health Counselor · Wood Dale, IL
Provider details
- NPI number
- 1669104832
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Wajahatuddin Macci, Cfo(773) 817-5928
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Adult Development & Aging Psychologist103TA0700X
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
- Counseling Psychologist103TC1900X
Behavioral Health & Social Service Providers
Practice location
343 N Wood Dale Rd Ste 201
Wood Dale, IL 60191-1565
Phone: (773) 322-9581
Approximate (ZIP-level) locationGet directions
Mailing address
343 N Wood Dale Rd
Wood Dale, IL 60191-1578
Registry dates
- Enumerated
- 2022-06-27
- Last updated
- 2022-06-27
- Certified
- 2022-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.