Provider Demographics
NPI:1659426963
Name:SCHLAGEL, MICHAEL A (MA, LCPC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:A
Last Name:SCHLAGEL
Suffix:
Gender:M
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 N LAKE ST
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-1426
Mailing Address - Country:US
Mailing Address - Phone:847-686-2032
Mailing Address - Fax:
Practice Address - Street 1:750 HIGHVIEW DR
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:IL
Practice Address - Zip Code:60002-1136
Practice Address - Country:US
Practice Address - Phone:847-686-2032
Practice Address - Fax:847-395-8438
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional