Healthcare Provider Details

I. General information

NPI: 1972393270
Provider Name (Legal Business Name): KARA KATHRYN TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24402 W LOCKPORT ST STE 213
PLAINFIELD IL
60544-4270
US

IV. Provider business mailing address

24402 W LOCKPORT ST STE 213
PLAINFIELD IL
60544-4270
US

V. Phone/Fax

Practice location:
  • Phone: 888-545-5707
  • Fax:
Mailing address:
  • Phone: 888-545-5707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.021553
License Number StateIL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: