Healthcare Provider Details

I. General information

NPI: 1568337020
Provider Name (Legal Business Name): ELIZABETH A NEALE LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5999 NEW WILKE RD STE 200
ROLLING MEADOWS IL
60008-4502
US

IV. Provider business mailing address

115 SARANAC CT
BLOOMINGDALE IL
60108-2436
US

V. Phone/Fax

Practice location:
  • Phone: 847-618-0800
  • Fax: 847-228-1062
Mailing address:
  • Phone: 847-452-3804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180.0003944
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180003944
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: