| Brian Drelicharz, Lcsw, Llc | |
|
82 S La Grange Rd Ste 210 La Grange IL 60525-6348 | |
| (708) 505-5480 | |
| Not Available |
| Full Name | Brian Drelicharz, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 82 S La Grange Rd Ste 210, La Grange, Illinois |
| Authorized Official Name and Position | Brian Drelicharz (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8477918274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Drelicharz, Lcsw, Llc 5615 Grand Ave Western Springs IL 60558-2206 Ph: (847) 791-8274 | Brian Drelicharz, Lcsw, Llc 82 S La Grange Rd Ste 210 La Grange IL 60525-6348 Ph: (708) 505-5480 |
| NPI Number | 1407419195 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 04/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407419195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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