Lidya Agustina Tandayu, MA

Professional Counselor · Elgin, IL

Individual Active NPI

NPI number 1356136758

Practice location

1595 Weld Rd Ste 9
Elgin, IL 60123-5896
Phone
(847) 707-2689

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NPI record

NPI
1356136758
Entity type
Individual (Type 1)
Enumeration date
April 14, 2025
Last updated
April 14, 2025
Certified
April 14, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X 178019770 IL

Mailing address

6800 W Raven St Unit 410
Chicago, IL 60631-2529
Phone
(773) 695-9559

About Lidya Tandayu

Lidya Agustina Tandayu, MA is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 1595 Weld Rd Ste 9, Elgin, IL 60123-5896. The NPI number 1356136758 was assigned on April 14, 2025 and the record was last updated on April 14, 2025.

Lidya Tandayu lists a license in the registry: #178019770 (IL) for Professional Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lidya Agustina Tandayu, MA?

The NPI number is 1356136758.

What is the phone number of Lidya Tandayu?

The phone number listed for the practice location is (847) 707-2689.

Where is Lidya Tandayu located?

1595 Weld Rd Ste 9, Elgin, IL 60123-5896.

What is the taxonomy code for Lidya Tandayu?

The primary taxonomy code is 101YP2500X – Professional Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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