Search › Illinois › 101YP2500X
Brenda White, LCPC
NPI 1134457476 · on the registry since 2009 · sole proprietor
Practice
- Address
- 402 W Boughton Rd Ste A
Bolingbrook, IL 60440 - Phone
- (312) 971-6653
- Fax
- (888) 559-6640
- Organisation at this address
- Bridgewell Llc
Blair Tanaka, Inc.
Bolingbrook Pharmacy Inc
Boughton Family Practice Pc
Complete Health Services IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YP2500X
- Licence states on file
- IL, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois