Healthcare Provider Details

I. General information

NPI: 1871359257
Provider Name (Legal Business Name): NUTHINK COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2024
Last Update Date: 02/23/2024
Certification Date: 02/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5757 S MADISON ST
HINSDALE IL
60521-8116
US

IV. Provider business mailing address

5757 S MADISON ST
HINSDALE IL
60521-8116
US

V. Phone/Fax

Practice location:
  • Phone: 630-474-5644
  • Fax:
Mailing address:
  • Phone: 630-474-5644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EDWARD MCCARTHY
Title or Position: CLIENT CARE COORDINATOR
Credential:
Phone: 312-520-3339