| Benjamin Waughtal, LPC | |
|
930 Il Route 22, Fox River Grove, IL 60021-1905 | |
| (847) 868-3435 | |
| Not Available |
| Full Name | Benjamin Waughtal |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 930 Il Route 22, Fox River Grove, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528470507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 178009075 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Waughtal, LPC 175 E Hawthorn Pkwy, Vernon Hills, IL 60061-1463 Ph: (847) 868-3435 | Benjamin Waughtal, LPC 930 Il Route 22, Fox River Grove, IL 60021-1905 Ph: (847) 868-3435 |
Sheryl Sierakowski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 930 Il Route 22, Fox River Grove, IL 60021 Phone: 847-868-3435 Fax: 847-859-5885 | |
Nicole Anne Poloski, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2310 W Byrne Dr, Fox River Grove, IL 60021 Phone: 630-699-2985 | |
Ms. Jacquelyn Lebreck, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Northwest Hwy, Fox River Grove, IL 60021 Phone: 847-370-4969 |