Healthcare Provider Details

I. General information

NPI: 1043827116
Provider Name (Legal Business Name): MICHAEL ANTHONY ALTOBELLI LCPC, CCMHC, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2020
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W HIGGINS RD STE 105
HOFFMAN ESTATES IL
60169-2040
US

IV. Provider business mailing address

1800 ARBORDALE LN
ALGONQUIN IL
60102-3263
US

V. Phone/Fax

Practice location:
  • Phone: 888-870-1775
  • Fax:
Mailing address:
  • Phone: 630-930-2267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number180.016231
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180.016231
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.016231
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number180.016231
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: