Healthcare Provider Details

I. General information

NPI: 1346160231
Provider Name (Legal Business Name): MDC CONSULTANT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5240 W GALEWOOD AVE UNIT A
CHICAGO IL
60639-4177
US

IV. Provider business mailing address

5240 W GALEWOOD AVE UNIT A
CHICAGO IL
60639-4177
US

V. Phone/Fax

Practice location:
  • Phone: 312-375-7177
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. MARIA DEL CARMEN REYES LOPEZ
Title or Position: THERAPIST
Credential: LCSW
Phone: 312-375-7177