Healthcare Provider Details

I. General information

NPI: 1003265497
Provider Name (Legal Business Name): NANCY ESCHBACH LCSW AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2016
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1585 ELLINWOOD AVE SUITE 106
DES PLAINES IL
60016-4503
US

IV. Provider business mailing address

844 AZURE CT
COROLLA NC
27927-9699
US

V. Phone/Fax

Practice location:
  • Phone: 847-877-3970
  • Fax: 847-259-2940
Mailing address:
  • Phone: 847-877-3970
  • Fax: 847-259-2940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NANCY A ESCHBACH
Title or Position: OWNER, PSYCHOTHERAPIST
Credential: LCSW
Phone: 847-877-3970