Healthcare Provider Details

I. General information

NPI: 1184564940
Provider Name (Legal Business Name): YIXIN KE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 N ABERDEEN ST STE 400
CHICAGO IL
60607-1670
US

IV. Provider business mailing address

171 N ABERDEEN ST STE 400
CHICAGO IL
60607-1670
US

V. Phone/Fax

Practice location:
  • Phone: 773-459-1237
  • Fax:
Mailing address:
  • Phone: 773-459-1237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178022654
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: