Provider Demographics
NPI:1467344747
Name:ESTRADA, ISELA (LCPC)
Entity type:Individual
Prefix:MS
First Name:ISELA
Middle Name:
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6447 S KARLOV AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60629-5101
Mailing Address - Country:US
Mailing Address - Phone:773-706-3700
Mailing Address - Fax:
Practice Address - Street 1:6442 W 64TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60638-5008
Practice Address - Country:US
Practice Address - Phone:773-706-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2469162101YS0200X
ILR-DMT-1840225600000X
IL180.010132101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist