MEDICARE: INNER LIGHT ONE COUNSELING INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1912865114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNER LIGHT ONE COUNSELING INC

Provider Business Mailing Address
First Line	:	1800 GLENVIEW RD STE B
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60025-2995
Country	:	US
Telephone Number	:	847-767-3999
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 GLENVIEW RD STE B
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60025-2995
Country	:	US
Telephone Number	:	847-767-3999
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST/OWNER
Name	:	JENNIFER AIELLO
Credential	:	LCPC
Telephone Number	:	847-767-3999

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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