Provider Demographics
NPI:1871251124
Name:SCHILLER, GABRIELLE MARIE (LPC, CTRS)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:MARIE
Last Name:SCHILLER
Suffix:
Gender:F
Credentials:LPC, CTRS
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:MARIE
Other - Last Name:COSTOUROS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, CTRS
Mailing Address - Street 1:29 S WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-5356
Mailing Address - Country:US
Mailing Address - Phone:224-377-0701
Mailing Address - Fax:
Practice Address - Street 1:29 S WEBSTER ST
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-5356
Practice Address - Country:US
Practice Address - Phone:773-207-5721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-03
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL67996225800000X
IL178016876101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist