Healthcare Provider Details

I. General information

NPI: 1407127608
Provider Name (Legal Business Name): MS. KATHLEEN HUNDT TERZINSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. KATHLEEN HUNDT-TERZINSKI

II. Dates (important events)

Enumeration Date: 01/19/2012
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1226 STRATFORD LN
ALGONQUIN IL
60102-3808
US

IV. Provider business mailing address

1226 STRATFORD LN
ALGONQUIN IL
60102-3808
US

V. Phone/Fax

Practice location:
  • Phone: 847-528-8713
  • Fax:
Mailing address:
  • Phone: 847-528-8713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.009716
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: