Healthcare Provider Details

I. General information

NPI: 1558288662
Provider Name (Legal Business Name): BROOKE ELIZABETH BEDNARZ NCC, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3633 W LAKE AVE STE 300
GLENVIEW IL
60026-5803
US

IV. Provider business mailing address

4569 TOPAZ DR
HOFFMAN EST IL
60192-1189
US

V. Phone/Fax

Practice location:
  • Phone: 847-699-2490
  • Fax: 847-699-2491
Mailing address:
  • Phone: 847-651-7426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: