Healthcare Provider Details

I. General information

NPI: 1861990129
Provider Name (Legal Business Name): ESPERANSA ALATORRE LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2018
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4753 N BROADWAY ST STE 700
CHICAGO IL
60640-4995
US

IV. Provider business mailing address

16649 OAK PARK AVE STE H
TINLEY PARK IL
60477-1843
US

V. Phone/Fax

Practice location:
  • Phone: 773-293-8431
  • Fax: 773-728-4751
Mailing address:
  • Phone: 708-249-7474
  • Fax: 708-249-7302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: