Healthcare Provider Details

I. General information

NPI: 1861319402
Provider Name (Legal Business Name): WILLIAM FREDERIC MOTZEL ALMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

3036 W IRVING PARK RD
CHICAGO IL
60618-3539
US

IV. Provider business mailing address

3311 N HOYNE AVE APT 2F
CHICAGO IL
60618-9254
US

V. Phone/Fax

Practice location:
  • Phone: 773-270-1703
  • Fax:
Mailing address:
  • Phone: 407-443-9035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number208.011677
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: