SearchIllinois101YP2500X

Christopher Gough, LCPC

NPI 1477606531 · on the registry since 2007

Practice

Address
400 East Hillcrest Drive
Suite 100a
Dekalb, IL 60115
Phone
(815) 762-1498
Fax
(815) 756-4848
Organisation at this address
Creative Therapeutics, Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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