Provider Demographics
NPI:1487755575
Name:ANDRLIK, ANDREA LORRY (MSW, ACSW)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:LORRY
Last Name:ANDRLIK
Suffix:
Gender:F
Credentials:MSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:449 S PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-3960
Mailing Address - Country:US
Mailing Address - Phone:630-832-2103
Mailing Address - Fax:
Practice Address - Street 1:ROOSEVELT AND 5TH AVE.
Practice Address - Street 2:
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141-5000
Practice Address - Country:US
Practice Address - Phone:708-202-2100
Practice Address - Fax:708-202-2180
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker