Healthcare Provider Details

I. General information

NPI: 1457022550
Provider Name (Legal Business Name): SORENSEN & SCHILLER FAMILY SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2021
Last Update Date: 09/28/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

469 S SPRING RD
ELMHURST IL
60126-3862
US

IV. Provider business mailing address

706 S LOMBARD AVE
OAK PARK IL
60304-1608
US

V. Phone/Fax

Practice location:
  • Phone: 312-391-8051
  • Fax:
Mailing address:
  • Phone: 773-392-2740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARGARET M SCHILLER
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential:
Phone: 773-392-2740