Healthcare Provider Details

I. General information

NPI: 1316884224
Provider Name (Legal Business Name): NANCY BHAGAT-BOYD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 N HALSTED ST STE 105
CHICAGO IL
60642-7886
US

IV. Provider business mailing address

2020 N MOZART ST APT 120
CHICAGO IL
60647-3977
US

V. Phone/Fax

Practice location:
  • Phone: 312-626-7401
  • Fax:
Mailing address:
  • Phone: 312-973-8277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.023165
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: