Healthcare Provider Details

I. General information

NPI: 1982569521
Provider Name (Legal Business Name): HANNS CHRISTOFF Y NACUA MA,LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 S MAIN ST STE 252
NAPERVILLE IL
60540-5576
US

IV. Provider business mailing address

55 S MAIN ST STE 252
NAPERVILLE IL
60540-5576
US

V. Phone/Fax

Practice location:
  • Phone: 855-365-3918
  • Fax:
Mailing address:
  • Phone: 855-365-3918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.022528
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: