Healthcare Provider Details

I. General information

NPI: 1821109927
Provider Name (Legal Business Name): CYNTHIA HOSMAN LCPC, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 DUNDEE RD SUITE 411-412
NORTHBROOK IL
60062-2422
US

IV. Provider business mailing address

1009 E GLAVIN CT UNIT #3
PALATINE IL
60074-2207
US

V. Phone/Fax

Practice location:
  • Phone: 847-202-3299
  • Fax: 847-205-0377
Mailing address:
  • Phone: 847-202-3299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: