Provider Demographics
NPI:1679172373
Name:CZOP, ALEXANDER (LPC)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:CZOP
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 SALISBURY DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-3158
Mailing Address - Country:US
Mailing Address - Phone:630-544-1397
Mailing Address - Fax:
Practice Address - Street 1:1250 CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-1616
Practice Address - Country:US
Practice Address - Phone:630-544-1397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.016375101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty