Healthcare Provider Details

I. General information

NPI: 1801700422
Provider Name (Legal Business Name): YINGYING TAO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALLISON TAO

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2239 N SPAULDING AVE
CHICAGO IL
60647-2711
US

IV. Provider business mailing address

2239 N SPAULDING AVE
CHICAGO IL
60647-2711
US

V. Phone/Fax

Practice location:
  • Phone: 309-832-9279
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number178033196
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: