Healthcare Provider Details

I. General information

NPI: 1992428429
Provider Name (Legal Business Name): ALLEGRA SOCKI LCPC, ATR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2022
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8707 SKOKIE BLVD STE 210
SKOKIE IL
60077-2272
US

IV. Provider business mailing address

3440 W DIVERSEY AVE # 1
CHICAGO IL
60647-1221
US

V. Phone/Fax

Practice location:
  • Phone: 847-615-1698
  • Fax:
Mailing address:
  • Phone: 626-372-5282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number180017475
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178018378
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: