Provider Demographics
NPI:1134642549
Name:CHOPP, TAMMIE (LCPC, CADC)
Entity Type:Individual
Prefix:
First Name:TAMMIE
Middle Name:
Last Name:CHOPP
Suffix:
Gender:F
Credentials:LCPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20550 S. LAGRANGE RD.
Mailing Address - Street 2:SUITE LL #001
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-1397
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20550 S. LAGRANGE RD.
Practice Address - Street 2:SUITE LL #001
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-1397
Practice Address - Country:US
Practice Address - Phone:815-274-7118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-18
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL32921101YA0400X
IL180.010248101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)