Healthcare Provider Details

I. General information

NPI: 1184798092
Provider Name (Legal Business Name): BARBARA L HOZINSKY LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 S MICHIGAN AVENUE
CHICAGO IL
60603
US

IV. Provider business mailing address

5000 S EAST END AVE APT B15
CHICAGO IL
60615
US

V. Phone/Fax

Practice location:
  • Phone: 312-922-7474
  • Fax: 312-922-5656
Mailing address:
  • Phone: 773-493-9254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: