Provider Demographics
NPI:1093168429
Name:INGOGLY, WILLIAM F (LCPC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:INGOGLY
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1732 ONTARIO AVE
Mailing Address - Street 2:APARTMENT 212
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-9260
Mailing Address - Country:US
Mailing Address - Phone:630-983-0678
Mailing Address - Fax:
Practice Address - Street 1:1732 ONTARIO AVE
Practice Address - Street 2:APARTMENT 212
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-9260
Practice Address - Country:US
Practice Address - Phone:630-983-0678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006962101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL180006962OtherLICENSED CLINICAL PROFESSIONAL COUNSELOR