Healthcare Provider Details

I. General information

NPI: 1104774652
Provider Name (Legal Business Name): VILCHIS COLLABORATIVE BEHAVIORAL CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8775 S DUFFY AVE
HOMETOWN IL
60456-1002
US

IV. Provider business mailing address

8775 S DUFFY AVE
HOMETOWN IL
60456-1002
US

V. Phone/Fax

Practice location:
  • Phone: 708-915-9982
  • Fax:
Mailing address:
  • Phone: 708-915-9982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MRS. JESSICA VILCHIS
Title or Position: BCBA, FOUNDER
Credential: M.A., BCBA, LBA
Phone: 708-915-9982