Healthcare Provider Details
I. General information
NPI: 1346125135
Provider Name (Legal Business Name): VESIL CHAU DAO LPC - INTERN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/11/2025
Last Update Date: 08/11/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
414 PLAZA DR STE 301
WESTMONT IL
60559-5508
US
IV. Provider business mailing address
414 PLAZA DR STE 301
WESTMONT IL
60559-5508
US
V. Phone/Fax
- Phone: 630-728-1744
- Fax: 630-998-7029
- Phone: 630-728-1744
- Fax: 630-998-7029
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: