Healthcare Provider Details

I. General information

NPI: 1982525804
Provider Name (Legal Business Name): EVE R CHALOM LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EVE CHALOM COUNSELING PLLC

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

941 S STEWART AVE
LOMBARD IL
60148-3436
US

IV. Provider business mailing address

941 S STEWART AVE
LOMBARD IL
60148-3436
US

V. Phone/Fax

Practice location:
  • Phone: 312-872-8952
  • Fax:
Mailing address:
  • Phone: 646-305-5250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.018585
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: