Healthcare Provider Details

I. General information

NPI: 1235735192
Provider Name (Legal Business Name): VICTORIA BELTRAMO-REYNOLDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2020
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

998 N COUNTRY LN
PALATINE IL
60067-3401
US

IV. Provider business mailing address

998 N COUNTRY LN
PALATINE IL
60067-3401
US

V. Phone/Fax

Practice location:
  • Phone: 847-530-7593
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39005147A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401225014
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.015104
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: