Healthcare Provider Details

I. General information

NPI: 1184532244
Provider Name (Legal Business Name): LAURA PAULINA SANCHEZ MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 S CALIFORNIA AVE
CHICAGO IL
60632-2016
US

IV. Provider business mailing address

10940 S AVENUE G
CHICAGO IL
60617-6744
US

V. Phone/Fax

Practice location:
  • Phone: 773-584-6200
  • Fax:
Mailing address:
  • Phone: 773-877-9828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.032785
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: