Provider Demographics
NPI:1316060718
Name:HINSDALE THERAPY GROUP
Entity type:Organization
Organization Name:HINSDALE THERAPY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:GIERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-321-1073
Mailing Address - Street 1:522 CHESTNUT ST
Mailing Address - Street 2:2D
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3171
Mailing Address - Country:US
Mailing Address - Phone:630-321-1073
Mailing Address - Fax:630-214-0476
Practice Address - Street 1:522 CHESTNUT ST
Practice Address - Street 2:2D
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3171
Practice Address - Country:US
Practice Address - Phone:630-321-1073
Practice Address - Fax:630-214-0476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2012-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180004402101YP2500X
IL1490102621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty