Healthcare Provider Details
I. General information
NPI: 1023283330
Provider Name (Legal Business Name): APEX ASSESSMENTS AND COUNSELING, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/28/2008
Last Update Date: 04/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
125 S WILKE RD SUITE 202
ARLINGTON HEIGHTS IL
60005-1534
US
IV. Provider business mailing address
125 S WILKE RD SUITE 202
ARLINGTON HEIGHTS IL
60005-1534
US
V. Phone/Fax
- Phone: 847-541-8914
- Fax: 847-541-8110
- Phone: 847-541-8914
- Fax: 847-541-8110
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 071005117 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 149003366 |
| License Number State | IL |
VIII. Authorized Official
Name: MS.
ELLEN
D.
FRANK
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LCSW,DCSW
Phone: 847-541-8914