Healthcare Provider Details

I. General information

NPI: 1891928073
Provider Name (Legal Business Name): NORMAN D ASHER MSW, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2009
Last Update Date: 09/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 W PETERSON AVE
CHICAGO IL
60659-4108
US

IV. Provider business mailing address

1411 SEWARD ST
EVANSTON IL
60202-2130
US

V. Phone/Fax

Practice location:
  • Phone: 773-765-0593
  • Fax: 773-765-0622
Mailing address:
  • Phone: 847-332-1912
  • Fax: 773-765-0622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149006046
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: