Healthcare Provider Details

I. General information

NPI: 1477529865
Provider Name (Legal Business Name): CINDY R HITCHCOCK MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CINDY R HITCHCOCK

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 10/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W. HIGGINS ROAD SUITE 1279
HOFFMAN ESTATES IL
60169-2051
US

IV. Provider business mailing address

2500 W. HIGGINS ROAD SUITE 1279
HOFFMAN ESTATES IL
60169-2051
US

V. Phone/Fax

Practice location:
  • Phone: 847-373-5700
  • Fax: 847-884-7441
Mailing address:
  • Phone: 847-373-5700
  • Fax: 847-884-7441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number149-008403
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149008403
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: