Healthcare Provider Details

I. General information

NPI: 1497802227
Provider Name (Legal Business Name): SUSAN ELIZABETH CAHILL MA,LCPC,ADTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 ELMWOOD AVE
WILMETTE IL
60091-1652
US

IV. Provider business mailing address

1505 ELMWOOD AVE
WILMETTE IL
60091-1652
US

V. Phone/Fax

Practice location:
  • Phone: 847-920-1556
  • Fax: 847-920-1482
Mailing address:
  • Phone: 847-920-1556
  • Fax: 847-920-1482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: