Healthcare Provider Details

I. General information

NPI: 1164228409
Provider Name (Legal Business Name): CHRISTINA L PINILLA LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3037 N OKETO AVE
CHICAGO IL
60707-1203
US

IV. Provider business mailing address

3037 N OKETO AVE
CHICAGO IL
60707-1203
US

V. Phone/Fax

Practice location:
  • Phone: 773-758-0082
  • Fax:
Mailing address:
  • Phone: 773-758-0082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA LYNN PINILLA
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 773-758-0082