Provider Demographics
NPI:1679192603
Name:SANPIETRO, LORI ANN (LPC)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:SANPIETRO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3214 W MONTROSE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-1204
Mailing Address - Country:US
Mailing Address - Phone:773-387-5558
Mailing Address - Fax:773-267-7953
Practice Address - Street 1:2210 MIDWEST RD
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1280
Practice Address - Country:US
Practice Address - Phone:630-828-8120
Practice Address - Fax:630-828-8122
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-09
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor