Healthcare Provider Details

I. General information

NPI: 1689225856
Provider Name (Legal Business Name): BRITTANY ANN GREGORY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2019
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 STEBBINGS CT STE 1
BRADLEY IL
60915-1282
US

IV. Provider business mailing address

12201 S 69TH CT
PALOS HEIGHTS IL
60463-1638
US

V. Phone/Fax

Practice location:
  • Phone: 815-200-9436
  • Fax:
Mailing address:
  • Phone: 708-601-3234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number178009119
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: