Healthcare Provider Details

I. General information

NPI: 1639093586
Provider Name (Legal Business Name): ISABEL SANTOS M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E DIEHL RD STE 120
NAPERVILLE IL
60563-2381
US

IV. Provider business mailing address

700 E DIEHL RD STE 120
NAPERVILLE IL
60563-2381
US

V. Phone/Fax

Practice location:
  • Phone: 630-999-8404
  • Fax: 630-982-1082
Mailing address:
  • Phone: 630-999-8404
  • Fax: 630-982-1082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: