Healthcare Provider Details

I. General information

NPI: 1639091309
Provider Name (Legal Business Name): CRAIG MCGILL LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6819 167TH ST
TINLEY PARK IL
60477-2501
US

IV. Provider business mailing address

12565 S AUSTIN AVE
ALSIP IL
60803-3525
US

V. Phone/Fax

Practice location:
  • Phone: 708-633-8000
  • Fax: 708-633-8008
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.023333
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: