Provider Demographics
NPI:1518458082
Name:QUIGLEY, NOEL (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:NOEL
Middle Name:
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 W ARDMORE AVE # 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-4219
Mailing Address - Country:US
Mailing Address - Phone:312-647-7507
Mailing Address - Fax:
Practice Address - Street 1:455 N CITYFRONT PLAZA DR
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5503
Practice Address - Country:US
Practice Address - Phone:800-272-7255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.013920101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional