Individual provider · Type 1 NPI

Andrew Benjamin Eytalis

Professional Counselor · Rockford, IL

NPI number 1609581453 Active

Practice location

695 N Perryville Rd Ste 4
Rockford, IL 61107-6225

Call (779) 368-0060 Map

Mailing address

695 N Perryville Rd
Rockford, IL 61107-6225

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Professional Counselor Primary 101YP2500X178021163 (IL)

Professional Counselor: Definition to come...

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About NPI 1609581453

Andrew Benjamin Eytalis's National Provider Identifier is 1609581453, issued on Jan 17, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Jul 31, 2025.