Provider Demographics
NPI:1003308008
Name:MATUS, ANN SYLVIA (LCPC, CADC, NCC)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:SYLVIA
Last Name:MATUS
Suffix:
Gender:F
Credentials:LCPC, CADC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3436 N KENNICOTT AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-7814
Mailing Address - Country:US
Mailing Address - Phone:847-952-7460
Mailing Address - Fax:847-222-1754
Practice Address - Street 1:100 LEXINGTON DR STE 150
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-6939
Practice Address - Country:US
Practice Address - Phone:224-434-2855
Practice Address - Fax:847-342-0378
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-05
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL18-55537106S00000X
IL180015356101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician