Healthcare Provider Details

I. General information

NPI: 1104717388
Provider Name (Legal Business Name): CHRISTINE MARIE KRUMSEE LPC, ATR-P
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 NAPER VL WHEATON RD
NAPERVILLE IL
60563-1557
US

IV. Provider business mailing address

442 WOODHILL DR
CAROL STREAM IL
60188-4310
US

V. Phone/Fax

Practice location:
  • Phone: 847-797-4267
  • Fax:
Mailing address:
  • Phone: 847-797-4267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number178.021527
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number23-576
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: