Provider Demographics
NPI:1235892530
Name:VILAGO PSYCHOLOGICAL SERVICES, PLLC.
Entity Type:Organization
Organization Name:VILAGO PSYCHOLOGICAL SERVICES, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIGONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-945-1479
Mailing Address - Street 1:8725 S NORMAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60620-2119
Mailing Address - Country:US
Mailing Address - Phone:773-945-1479
Mailing Address - Fax:
Practice Address - Street 1:477 E BUTTERFIELD RD STE 310
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-4880
Practice Address - Country:US
Practice Address - Phone:773-945-1479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-14
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty