Healthcare Provider Details

I. General information

NPI: 1427068014
Provider Name (Legal Business Name): LILLIE DULANEY LCSW, CADC,SAP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 E WASHINGTON ST 2700
CHICAGO IL
60602-2103
US

IV. Provider business mailing address

5100 N MARINE DR 18 B
CHICAGO IL
60640-3274
US

V. Phone/Fax

Practice location:
  • Phone: 773-728-7316
  • Fax: 773-728-8024
Mailing address:
  • Phone: 773-728-7316
  • Fax: 773-728-8024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number12280
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: