Healthcare Provider Details

I. General information

NPI: 1326182791
Provider Name (Legal Business Name): VICTORIA KROFTA-THOMPSON M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 QUINCY AVE SUITE 31
NAPERVILLE IL
60540-3955
US

IV. Provider business mailing address

6523 DENALI RIDGE DR
PLAINFIELD IL
60586-1469
US

V. Phone/Fax

Practice location:
  • Phone: 630-428-1056
  • Fax: 630-428-1167
Mailing address:
  • Phone: 815-230-2940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: