Basic Information
| Provider Information | |||||||||
| NPI: | 1295277234 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DEUTSCH | ||||||||
| FirstName: | LENORE | ||||||||
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| Mailing Information | |||||||||
| Address1: | NSPT 950 LEE STREET | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | DES PLAINES | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600166532 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8774864140 | ||||||||
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| Practice Location | |||||||||
| Address1: | 917 SHERWOOD DR | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | LAKE BLUFF | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600442203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8774864140 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2016 | ||||||||
| LastUpdateDate: | 11/09/2016 | ||||||||
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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 | 149001594 | IL | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.