Tavolacci, Michael G

Tavolacci, Michael G is an individual health care provider with primary practice located at 390 E Devon Ave Ste 201 , Roselle IL 60172-1763. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Tavolacci, Michael G can be contacted via phone (630) 358-9821.

Contact Information

Primary practice address
390 E Devon Ave Ste 201 Roselle IL 60172-1763
Phone: (630) 358-9821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 178015764 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178015764 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 178015764 Illinois

Profile Details

NPI number 1518592872
LBN Legal business name Tavolacci, Michael G
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2020
Last updated Mar 7th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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