Basic Information
| Provider Information | |||||||||
| NPI: | 1245595834 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SWILLINGER | ||||||||
| FirstName: | ALEXANDRA | ||||||||
| MiddleName: | F. | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4433 W TOUHY AVE | ||||||||
| Address2: | SUITE 335 | ||||||||
| City: | LINCOLNWOOD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 607121820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8474864140 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4433 W TOUHY AVE | ||||||||
| Address2: | SUITE 335 | ||||||||
| City: | LINCOLNWOOD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 607121820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8474864140 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2012 | ||||||||
| LastUpdateDate: | 12/02/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 149015014 | IL | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.