Healthcare Provider Details

I. General information

NPI: 1578903696
Provider Name (Legal Business Name): DR. JOEL MARC FILMORE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2013
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2124 OGDEN AVE STE 301
AURORA IL
60504-7542
US

IV. Provider business mailing address

2124 OGDEN AVE STE 301
AURORA IL
60504-7542
US

V. Phone/Fax

Practice location:
  • Phone: 630-428-7890
  • Fax:
Mailing address:
  • Phone: 630-428-7890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number899
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180008697
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: