Healthcare Provider Details

I. General information

NPI: 1871410548
Provider Name (Legal Business Name): CATALINA CORTES TREVINO MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 CENTRAL AVE STE 17
HIGHLAND PARK IL
60035-3246
US

IV. Provider business mailing address

120 N OAK PARK AVE APT 400
OAK PARK IL
60301-1318
US

V. Phone/Fax

Practice location:
  • Phone: 847-441-5600
  • Fax:
Mailing address:
  • Phone: 773-892-4862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178021549
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: