Healthcare Provider Details

I. General information

NPI: 1154912129
Provider Name (Legal Business Name): CAITLIN GRACE SPRAGUE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2021
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 S MICHIGAN AVE
CHICAGO IL
60603-3357
US

IV. Provider business mailing address

8 S MICHIGAN AVE
CHICAGO IL
60603-3357
US

V. Phone/Fax

Practice location:
  • Phone: 312-346-6230
  • Fax:
Mailing address:
  • Phone: 217-413-6444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.023054
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: