Healthcare Provider Details

I. General information

NPI: 1932258449
Provider Name (Legal Business Name): PAPE AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 07/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

618 S WEST ST
WHEATON IL
60187-5038
US

IV. Provider business mailing address

618 S WEST ST
WHEATON IL
60187-5038
US

V. Phone/Fax

Practice location:
  • Phone: 630-668-8710
  • Fax: 630-668-8779
Mailing address:
  • Phone: 630-668-8710
  • Fax: 630-668-8779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberA-0031-0001-A
License Number StateIL

VIII. Authorized Official

Name: MS. PATRICIA A. PAPE
Title or Position: OWNER
Credential: LCSW, CSADC
Phone: 630-668-8710