Healthcare Provider Details

I. General information

NPI: 1902761497
Provider Name (Legal Business Name): WISE GUYS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7052 W SUMMERDALE AVE
CHICAGO IL
60656-1951
US

IV. Provider business mailing address

7052 W SUMMERDALE AVE
CHICAGO IL
60656-1951
US

V. Phone/Fax

Practice location:
  • Phone: 773-502-6250
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARK HANKINS
Title or Position: OWNER
Credential: LCPC
Phone: 773-502-6250