Healthcare Provider Details

I. General information

NPI: 1295237923
Provider Name (Legal Business Name): LAURA OREILLY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2018
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 HILLGROVE AVE STE 6B
WESTERN SPRINGS IL
60558-1474
US

IV. Provider business mailing address

822 HILLGROVE AVE STE 6B
WESTERN SPRINGS IL
60558-1474
US

V. Phone/Fax

Practice location:
  • Phone: 217-871-5205
  • Fax:
Mailing address:
  • Phone: 217-871-5205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number64845
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number2022073
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.018836
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: