Provider Demographics
NPI:1902978158
Name:PIONTO, LINDA SUE (LCPC LICENSED CLINIC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SUE
Last Name:PIONTO
Suffix:
Gender:F
Credentials:LCPC LICENSED CLINIC
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:SUE
Other - Last Name:MAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2625 BUTTERFIELD
Mailing Address - Street 2:STE 103W
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-3418
Mailing Address - Country:US
Mailing Address - Phone:630-251-7955
Mailing Address - Fax:
Practice Address - Street 1:2625 BUTTERFIELD
Practice Address - Street 2:STE 103W
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-3418
Practice Address - Country:US
Practice Address - Phone:630-251-7955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
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