Healthcare Provider Details

I. General information

NPI: 1578519765
Provider Name (Legal Business Name): CHRISTOPHER M RHONE LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 12/22/2021
Certification Date: 12/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 WARREN AVE
DOWNERS GROVE IL
60515-3437
US

IV. Provider business mailing address

29373 NETWORK PL
CHICAGO IL
60673-1293
US

V. Phone/Fax

Practice location:
  • Phone: 630-719-5454
  • Fax: 630-719-1263
Mailing address:
  • Phone: 630-719-5454
  • Fax: 630-719-1263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180-003995
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: