Provider Demographics
NPI:1790329142
Name:HILL, WAYNE G (LPC)
Entity Type:Individual
Prefix:MR
First Name:WAYNE
Middle Name:G
Last Name:HILL
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 1:1746 TRENT CT
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-7726
Mailing Address - Country:US
Mailing Address - Phone:630-209-7799
Mailing Address - Fax:
Practice Address - Street 1:1746 TRENT CT
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-7726
Practice Address - Country:US
Practice Address - Phone:630-209-7799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.005887101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health