Healthcare Provider Details

I. General information

NPI: 1982454922
Provider Name (Legal Business Name): GABRIELLA F ARCIDIACONO MA, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 MIDWEST RD STE 300
OAK BROOK IL
60523-1359
US

IV. Provider business mailing address

2021 MIDWEST RD STE 300
OAK BROOK IL
60523-1359
US

V. Phone/Fax

Practice location:
  • Phone: 630-317-7775
  • Fax:
Mailing address:
  • Phone: 630-317-7775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.019789
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: