Provider Demographics
NPI:1427197672
Name:DI GANGI, JOHN HENRY (LCPC, CRADC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:HENRY
Last Name:DI GANGI
Suffix:
Gender:M
Credentials:LCPC, CRADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14717 MAPLECREEK DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-7203
Mailing Address - Country:US
Mailing Address - Phone:708-403-7503
Mailing Address - Fax:847-884-6687
Practice Address - Street 1:1 ILLINOIS BOULEVARD
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169
Practice Address - Country:US
Practice Address - Phone:847-884-6212
Practice Address - Fax:847-884-6212
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL11509101YA0400X
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional