Healthcare Provider Details

I. General information

NPI: 1225972193
Provider Name (Legal Business Name): ONION RIVER COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

844 CIRCLE AVE
FOREST PARK IL
60130-2025
US

IV. Provider business mailing address

1449 S MICHIGAN AVE STE 13358
CHICAGO IL
60605-2810
US

V. Phone/Fax

Practice location:
  • Phone: 312-298-9635
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: SEAN ELLIOTT
Title or Position: FOUNDER
Credential: LCSW
Phone: 312-298-9635