Individual
MICHAEL NICHOLAS GUGLIELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCC LCPC PSYD
Contact information
Practice address
45100 ROUTE 59, UNIT 67, NAPERVILLE, IL 60563
(630) 416-8289
(630) 416-8306
Mailing address
45100 ROUTE 59, UNIT 67, NAPERVILLE, IL 60563
(630) 416-8289
(630) 416-8306
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
42850
IL
101YP2500X
Professional Counselor
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2237367
CIGNA
—
01
—
4532105
BLUE CROSS BLUE SHIELD GR
—
01
—
538287
VALUE OPTIONS
—
01
—
609000
PSYCHEALTH GROUP #
—
01
—
9146801
PHCS
—
Enumeration date
03/08/2007
Last updated
09/11/2025
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