Healthcare Provider Details

I. General information

NPI: 1518875228
Provider Name (Legal Business Name): OLGA HELENA SKROBOTUN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3022 N HARLEM AVE
CHICAGO IL
60634-4786
US

IV. Provider business mailing address

3022 N HARLEM AVE
CHICAGO IL
60634-4786
US

V. Phone/Fax

Practice location:
  • Phone: 708-710-8819
  • Fax:
Mailing address:
  • Phone: 708-710-8819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number178.023375
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: