IVY FAY MALISOW LCPC
NPI 1710477823
Counselor - Professional in Oak Park, IL

Active since May 14, 2018
101 MADISON ST, OAK PARK, IL 60302(708) 859-8004 Get Directions Write a Review

NPPES record last updated: May 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivy Fay Malisow Lcpc NPPES

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

IVY FAY MALISOW LCPC (NPI 1710477823) is an individual professional provider in Oak Park, Illinois, licensed in Illinois (180011204) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1710477823
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameIVY FAY MALISOWCredential: LCPC
Location Address101 MADISON STOak Park, IL 60302-4278
Mailing Address2919 N Racine Ave BsmtChicago, IL 60657-4223 · (505) 331-3467
Sole ProprietorNo
Enumeration DateMay 14, 2018
NPI 1710477823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180011204
101 MADISON ST, Oak Park, IL 60302

Other Providers at the Same Location NPPES 15

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

Counselor (Professional)
101 MADISON ST
OAK PARK, IL 60302
Hospitalist
101 MADISON ST
OAK PARK, IL 60302
Nurse Practitioner (Gerontology)
101 MADISON ST
OAK PARK, IL 60302
Counselor (Mental Health)
101 MADISON ST
OAK PARK, IL 60302
Community/Behavioral Health
101 MADISON ST, #401
OAK PARK, IL 60302
Nurse Practitioner
101 MADISON ST
OAK PARK, IL 60302
Counselor (Professional)
101 MADISON ST
OAK PARK, IL 60302
Dentist (General Practice)
101 MADISON ST, SUITE 301
OAK PARK, IL 60302

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 Ivy Malisow's NPI number?

The NPI number for Ivy Malisow is 1710477823. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Where is Ivy Malisow located?

Ivy Malisow practices at 101 Madison St, Oak Park, IL 60302. The listed phone number is (708) 859-8004.

What is Ivy Malisow'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 Ivy Malisow was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.