Healthcare Provider Details

I. General information

NPI: 1477343903
Provider Name (Legal Business Name): NOEMI CHALCAKOVA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 N ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS IL
60004-6062
US

IV. Provider business mailing address

694 TERRY RD
GLENDALE HEIGHTS IL
60139-3329
US

V. Phone/Fax

Practice location:
  • Phone: 312-324-4502
  • Fax:
Mailing address:
  • Phone: 630-877-9771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178020871
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: