Provider Demographics
NPI:1861132888
Name:KALAPURAKAL, THOMAS (MA, NCC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:KALAPURAKAL
Suffix:
Gender:M
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 N LAKE SHORE DR APT 5106
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-6493
Mailing Address - Country:US
Mailing Address - Phone:630-441-0440
Mailing Address - Fax:
Practice Address - Street 1:1920 WAUKEGAN RD STE 200
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-1717
Practice Address - Country:US
Practice Address - Phone:847-729-3034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health