Healthcare Provider Details

I. General information

NPI: 1437713229
Provider Name (Legal Business Name): CUEVAS-FUECHTMANN ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2019
Last Update Date: 04/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

477 E BUTTERFIELD RD STE 310
LOMBARD IL
60148-4880
US

IV. Provider business mailing address

477 E BUTTERFIELD RD STE 310
LOMBARD IL
60148-4880
US

V. Phone/Fax

Practice location:
  • Phone: 773-236-0562
  • Fax:
Mailing address:
  • Phone: 773-236-0562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: LISA LOIS FUECHTMANN
Title or Position: OWNER,THERAPIST
Credential: LCPC, CADC
Phone: 773-236-0562