Provider Demographics
NPI:1477175081
Name:KABAT, GREGORY (LPC)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:
Last Name:KABAT
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:GRZEGORZ
Other - Middle Name:
Other - Last Name:KABAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1400 E IRVING PARK RD
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107-3201
Mailing Address - Country:US
Mailing Address - Phone:630-540-3900
Mailing Address - Fax:630-736-2763
Practice Address - Street 1:1400 E IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:STREAMWOOD
Practice Address - State:IL
Practice Address - Zip Code:60107-3201
Practice Address - Country:US
Practice Address - Phone:630-540-3900
Practice Address - Fax:630-736-2763
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178003784101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional