Search › Illinois › 101YM0800X
Gina Brennwald, LPC
NPI 1154286110 · on the registry since 2025 · sole proprietor
Practice
- Address
- 330 W Terra Cotta Ave Ste A
Crystal Lake, IL 60014 - Phone
- (815) 382-9691
- Organisation at this address
- Revival Therapy, P.C.
Mercy Health System Corporation
Crystal Lake Medical And Sports Rehab ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 228 N Benton St, Woodstock, IL
- 200 Washington St Unit 111, West Dundee, IL
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-22
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