Healthcare Provider Details

I. General information

NPI: 1609703362
Provider Name (Legal Business Name): ERIK WESTEGAARD LPC - INTERN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
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

Practice location:
  • Phone: 630-729-1744
  • Fax:
Mailing address:
  • Phone: 630-729-1744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: