Healthcare Provider Details

I. General information

NPI: 1407793524
Provider Name (Legal Business Name): NORA NEVILLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 W COLONIAL PKWY
INVERNESS IL
60067-4732
US

IV. Provider business mailing address

3804 ELEANOR CT
ROLLING MEADOWS IL
60008-2432
US

V. Phone/Fax

Practice location:
  • Phone: 847-924-2666
  • Fax:
Mailing address:
  • Phone: 224-612-2261
  • 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: