Provider Demographics
NPI:1376722504
Name:HAYUM-GROSS, WENDY EILEEN (LCPC NCC)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:EILEEN
Last Name:HAYUM-GROSS
Suffix:
Gender:F
Credentials:LCPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 JOSHUA CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6329
Mailing Address - Country:US
Mailing Address - Phone:630-601-4120
Mailing Address - Fax:630-983-4176
Practice Address - Street 1:600 JOSHUA CT
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6329
Practice Address - Country:US
Practice Address - Phone:630-601-4120
Practice Address - Fax:630-983-4176
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-24
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.007477101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional