Healthcare Provider Details

I. General information

NPI: 1184499485
Provider Name (Legal Business Name): KRISTINA GALUSZKA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2023
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 PYOTT RD STE 201G
LAKE IN THE HILLS IL
60156-9797
US

IV. Provider business mailing address

1030 PLUM TREE DR
CRYSTAL LAKE IL
60014-8309
US

V. Phone/Fax

Practice location:
  • Phone: 847-997-3359
  • Fax:
Mailing address:
  • Phone: 847-997-3359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KRISTINA GALUSZKA
Title or Position: THERAPIST/OWNER
Credential: LCPC CADC
Phone: 847-997-3359