Provider Demographics
NPI:1255539771
Name:UNDERHILE, NATHAN ANTHONY (LCSW)
Entity type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:ANTHONY
Last Name:UNDERHILE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2768 WAYFARING LN
Mailing Address - Street 2:UNIT B
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532
Mailing Address - Country:US
Mailing Address - Phone:815-973-9577
Mailing Address - Fax:
Practice Address - Street 1:1 N DEARBORN ST
Practice Address - Street 2:SUITE 1000
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-4331
Practice Address - Country:US
Practice Address - Phone:312-986-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490154931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical