Provider Demographics
NPI:1073216552
Name:CZARNIK, EVELIA (LPC)
Entity Type:Individual
Prefix:
First Name:EVELIA
Middle Name:
Last Name:CZARNIK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3737 N LAWNDALE AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-4112
Mailing Address - Country:US
Mailing Address - Phone:224-281-2877
Mailing Address - Fax:
Practice Address - Street 1:20 N CLARK ST STE 2650
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-5104
Practice Address - Country:US
Practice Address - Phone:866-296-5262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.018230101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional