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General NPI Number Information
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NPI Number | 1619474335
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Entity Type | Organization
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Legal Business Name | RESTORATION CARE AND COUNSELING PLLC
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Dates
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Enumeration Date | 04/09/2018
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1557 SHERMAN AVE STE 5
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City | EVANSTON
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State | IL
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Zip | 60201-4836
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Country | US
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Telephone | 847-650-5195
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Fax | 888-965-7208
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Provider Business Mailing Address
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Address Line | 1557 SHERMAN AVE STE 5
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City | EVANSTON
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State | IL
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Zip | 60201-4836
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Country | US
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Telephone | 847-906-1621
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Fax | 888-965-7208
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW ROSS
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Credential |
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Telephone | 847-906-1621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180.011260
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License Number State | IL
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