Provider Demographics
NPI:1558754291
Name:CHIGAROS, GINA MARIE (LCPC)
Entity Type:Individual
Prefix:MS
First Name:GINA
Middle Name:MARIE
Last Name:CHIGAROS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 W 95TH ST
Mailing Address - Street 2:MARY POTTER PAVILION SUITE 403
Mailing Address - City:EVERGREEN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60805-2735
Mailing Address - Country:US
Mailing Address - Phone:312-505-0584
Mailing Address - Fax:708-398-6926
Practice Address - Street 1:2850 W 95TH ST
Practice Address - Street 2:MARY POTTER PAVILION SUITE 403
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2735
Practice Address - Country:US
Practice Address - Phone:312-505-0584
Practice Address - Fax:708-398-6926
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-05
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.010476101YP2500X
IL180.010321101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional