Provider Demographics
NPI:1710701412
Name:LEHOCKY, CRISTYN MARGARET
Entity type:Individual
Prefix:
First Name:CRISTYN
Middle Name:MARGARET
Last Name:LEHOCKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 MEADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ROUND LAKE BEACH
Mailing Address - State:IL
Mailing Address - Zip Code:60073-2546
Mailing Address - Country:US
Mailing Address - Phone:224-717-2011
Mailing Address - Fax:
Practice Address - Street 1:6825 N OLCOTT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-1127
Practice Address - Country:US
Practice Address - Phone:224-305-1203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst