Healthcare Provider Details

I. General information

NPI: 1881502391
Provider Name (Legal Business Name): ASWIN KARINGADA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 QUADRANGLE DR STE C
BOLINGBROOK IL
60440-3455
US

IV. Provider business mailing address

419 BENNACOTT LN
BURR RIDGE IL
60527-6304
US

V. Phone/Fax

Practice location:
  • Phone: 331-452-6419
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178023363
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: