=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023283330
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | APEX ASSESSMENTS AND COUNSELING, LTD.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/28/2008
-----------------------------------------------------
Last Update Date | 04/28/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 125 S WILKE RD SUITE 202
-----------------------------------------------------
City | ARLINGTON HEIGHTS
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60005-1534
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-541-8914
-----------------------------------------------------
Fax | 847-541-8110
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 125 S WILKE RD SUITE 202
-----------------------------------------------------
City | ARLINGTON HEIGHTS
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60005-1534
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-541-8914
-----------------------------------------------------
Fax | 847-541-8110
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LICENSED CLINICAL SOCIAL WORKER
-----------------------------------------------------
Name | MS. ELLEN D. FRANK
-----------------------------------------------------
Credential | LCSW,DCSW
-----------------------------------------------------
Telephone | 847-541-8914
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 149003366
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | 071005117
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------