Healthcare Provider Details

I. General information

NPI: 1679477905
Provider Name (Legal Business Name): KATHRYN DEGEORGE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 E NORTHWEST HWY
ARLINGTON HEIGHTS IL
60004-6944
US

IV. Provider business mailing address

208 S I OKA AVE
MOUNT PROSPECT IL
60056-3006
US

V. Phone/Fax

Practice location:
  • Phone: 800-922-0976
  • Fax:
Mailing address:
  • Phone: 800-922-0756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: