Provider Demographics
NPI:1508758178
Name:WHATCOTT, WENDY WHITAKER (LPC, RN, MA, PEL)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:WHITAKER
Last Name:WHATCOTT
Suffix:
Gender:F
Credentials:LPC, RN, MA, PEL
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:WHITAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:408 PLAINVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-3490
Mailing Address - Country:US
Mailing Address - Phone:801-864-3260
Mailing Address - Fax:
Practice Address - Street 1:211 W CHICAGO AVE STE 119
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3355
Practice Address - Country:US
Practice Address - Phone:801-864-3260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.021544101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional