Provider Demographics
NPI:1962876235
Name:O'LEARY, CATHLEEN (LCPC)
Entity type:Individual
Prefix:MRS
First Name:CATHLEEN
Middle Name:
Last Name:O'LEARY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 W 22ND ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1947
Mailing Address - Country:US
Mailing Address - Phone:630-230-6505
Mailing Address - Fax:630-250-3362
Practice Address - Street 1:600 W 22ND ST
Practice Address - Street 2:SUITE 250
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1947
Practice Address - Country:US
Practice Address - Phone:630-230-6505
Practice Address - Fax:630-250-3362
Is Sole Proprietor?:No
Enumeration Date:2015-11-24
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178007451101YP2500X
IL180012789101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional