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ANDREW BENJAMIN EYTALIS
NPI 1609581453
Counselor - Professional in Rockford, IL

Active since January 17, 2023
695 N PERRYVILLE RD STE 4, ROCKFORD, IL 61107(779) 368-0060 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Benjamin Eytalis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW BENJAMIN EYTALIS (NPI 1609581453) is an individual professional provider in Rockford, Illinois, licensed in Illinois (178021163) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1609581453
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameANDREW BENJAMIN EYTALIS
Location Address695 N PERRYVILLE RD STE 4Rockford, IL 61107-6225
Mailing Address695 N Perryville RdRockford, IL 61107-6225 · (815) 975-3330
Phone(779) 368-0060
Sole ProprietorNo
Enumeration DateJanuary 17, 2023
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1609581453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178021163
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
695 N PERRYVILLE RD STE 4, Rockford, IL 61107
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMA SHACKLETON LCPC
Counselor (Professional)
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Winnebago County (779) 368-0060
AMANDA REZIN LCPC
Counselor (Professional)
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Winnebago County (779) 368-0060
ASHLEY PHILLIPS LCSW
Social Worker
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Winnebago County (779) 368-0060
SARAH BETH WOLF LSW
Social Worker
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Winnebago County (779) 368-0060
TIMOTHY NATHAN LEWIS
Counselor (Professional)
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Winnebago County (779) 368-0060
MARY EARLE LCSW
Social Worker (Clinical)
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Winnebago County (779) 368-0060
ARIANNA CALKINS LCSW
Social Worker (Clinical)
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Winnebago County (779) 368-0060
MR. ADAM FIGLEWICZ MSED, NCC, LPC
Counselor (Professional)
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107
Winnebago County (779) 368-0060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Eytalis's NPI number?

The NPI number for Andrew Eytalis is 1609581453. It was assigned to this individual provider in the NPPES registry on January 17, 2023.

Where is Andrew Eytalis located?

Andrew Eytalis practices at 695 N Perryville Rd Ste 4, Rockford, IL 61107. The listed phone number is (779) 368-0060.

What is Andrew Eytalis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Andrew Eytalis was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.