Healthcare Provider Details

I. General information

NPI: 1245158351
Provider Name (Legal Business Name): ANGELA YONAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

770 LAKE COOK RD STE 210
DEERFIELD IL
60015-4976
US

IV. Provider business mailing address

5049 N NEWLAND AVE
CHICAGO IL
60656-3706
US

V. Phone/Fax

Practice location:
  • Phone: 847-238-2550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.022253
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: