| Northwest Suburban Counseling Institute Pllc | |
|
1881 Commerce Dr Ste 102 Elk Grove Village IL 60007-2134 | |
| (312) 927-2373 | |
| Not Available |
| Full Name | Northwest Suburban Counseling Institute Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1881 Commerce Dr Ste 102, Elk Grove Village, Illinois |
| Authorized Official Name and Position | George Wynslow Liebert-hereth (OWNER/ PSYCHOTHERAPIST) |
| Authorized Official Contact | 3129272373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Suburban Counseling Institute Pllc 1881 Commerce Dr Ste 102 Elk Grove Village IL 60007-2134 Ph: (312) 927-2373 | Northwest Suburban Counseling Institute Pllc 1881 Commerce Dr Ste 102 Elk Grove Village IL 60007-2134 Ph: (312) 927-2373 |
| NPI Number | 1811714389 |
|---|---|
| Provider Enumeration Date | 09/25/2024 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811714389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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