Healthcare Provider Details

I. General information

NPI: 1194563387
Provider Name (Legal Business Name): ANNA HUBAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2024
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 STONEGATE RD STE 102
ALGONQUIN IL
60102-5614
US

IV. Provider business mailing address

3302 W WRIGHTWOOD AVE
CHICAGO IL
60647-1406
US

V. Phone/Fax

Practice location:
  • Phone: 224-678-9180
  • Fax: 224-678-9369
Mailing address:
  • Phone: 773-382-0776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178022291
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178022291
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: