Healthcare Provider Details

I. General information

NPI: 1932037074
Provider Name (Legal Business Name): BONNIE VREEMAN, LCPC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 WOODFIELD DR STE 107
SAVOY IL
61874-9505
US

IV. Provider business mailing address

1801 WOODFIELD DR STE 107
SAVOY IL
61874-9505
US

V. Phone/Fax

Practice location:
  • Phone: 217-722-2905
  • Fax:
Mailing address:
  • Phone: 217-722-2905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BONNIE VREEMAN
Title or Position: OWNER/MANAGER
Credential: MA, LCPC
Phone: 217-722-2905