Healthcare Provider Details

I. General information

NPI: 1972264380
Provider Name (Legal Business Name): SARANG LIM CHEUNG LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2022
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1417 BRAEBORN CT
WHEELING IL
60090-6933
US

IV. Provider business mailing address

1417 BRAEBORN CT
WHEELING IL
60090-6933
US

V. Phone/Fax

Practice location:
  • Phone: 847-595-5650
  • Fax: 847-407-8204
Mailing address:
  • Phone: 847-595-5650
  • Fax: 847-407-8204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.015854
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178012266
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: