Healthcare Provider Details

I. General information

NPI: 1720902638
Provider Name (Legal Business Name): RACHEL ANNE GORJANC MS, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913 W WELLINGTON AVE FL 3
CHICAGO IL
60657-6709
US

IV. Provider business mailing address

4439 N SPAULDING AVE
CHICAGO IL
60625-5405
US

V. Phone/Fax

Practice location:
  • Phone: 872-843-0300
  • Fax:
Mailing address:
  • Phone: 440-554-6476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180.011584
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: