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Search › Illinois › 101YP2500X

Michael Tavolacci, LPC

NPI 1518592872 · on the registry since 2020

Practice

Address
390 E Devon Ave Ste 201
Roselle, IL 60172
Phone
(630) 358-9821
Organisation at this address
Modern Me Psychology Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101Y00000X
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-03-07

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