=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396514980
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NUMAR CONSULTING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/26/2023
-----------------------------------------------------
Last Update Date | 12/26/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1654 COLLEGE GREEN DR
-----------------------------------------------------
City | ELGIN
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60123-6824
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-277-9295
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 105 CANTERBURY LN UNIT 942
-----------------------------------------------------
City | BOLINGBROOK
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60440-0428
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-277-9295
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | CINDY HALL
-----------------------------------------------------
Credential | LCSW, CCTP
-----------------------------------------------------
Telephone | 630-277-9295
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------