Healthcare Provider Details

I. General information

NPI: 1265343354
Provider Name (Legal Business Name): VICTORIA GALWAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S MCHENRY AVE STE F
CRYSTAL LAKE IL
60014-7487
US

IV. Provider business mailing address

2430 SARAH ST
FRANKLIN PARK IL
60131-3162
US

V. Phone/Fax

Practice location:
  • Phone: 815-526-3750
  • Fax: 815-526-3440
Mailing address:
  • Phone: 224-622-8573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.033394
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: