Healthcare Provider Details

I. General information

NPI: 1982643615
Provider Name (Legal Business Name): BARBARA GUSCHWAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 12/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 WINDHAM PKWY
ROMEOVILLE IL
60446-1673
US

IV. Provider business mailing address

1401 LAKEWOOD DR SUITE A
MORRIS IL
60450-3352
US

V. Phone/Fax

Practice location:
  • Phone: 815-942-6323
  • Fax: 815-942-6423
Mailing address:
  • Phone: 815-942-6323
  • Fax: 815-942-6423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number149010157
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: