Provider Demographics
NPI:1265630974
Name:COLANGELO, CHRIS (MS, LCPC)
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:
Last Name:COLANGELO
Suffix:
Gender:M
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1198 MORNING GLORY LN
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-5880
Mailing Address - Country:US
Mailing Address - Phone:630-715-0232
Mailing Address - Fax:630-540-0097
Practice Address - Street 1:1198 MORNING GLORY LN
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-5880
Practice Address - Country:US
Practice Address - Phone:630-715-0232
Practice Address - Fax:630-540-0097
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional