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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Clinical Social Worker · WHEATON, IL

Registration Details

NPI Number
1720321854
Provider Type
Individual
Gender
Male
NPI Issued
Mar 27, 2013 (13.071053607121 yrs)
Last Updated
Apr 3, 2017
License
149.018987 (IL)

Practice Information

Address
111 N COUNTY FARM RD
WHEATON, IL, 601873977
Browse IL providers · Browse ZIP 60187
Phone
6306827400
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in WHEATON, IL

Name Credential NPI
DR. CRAIG R. FISHER PH.D, L.C.S.W. 1437157351
GERALDINE JOYCE KATZ-ATKIN LCSW 1912985359
THERESA A. BUSSERT L.C.S.W. 1376503177
LINDA MADSEN LCSW 1114984002
CAROL RIEBOLD LCSW 1104835602
MR. DAVID W RENNARD LCSW 1932119617
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.