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JOHN LOUIS DISSELHORST
NPI 1093546442
Social Worker in Chicago, IL

Active since August 08, 2024
4711 N BROADWAY ST STE 105, CHICAGO, IL 60640(815) 382-2981 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 11, 2025, Aug 8, 2024 (2 updates tracked since 2024).

About John Louis Disselhorst NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN LOUIS DISSELHORST (NPI 1093546442) is an individual social worker in Chicago, Illinois, licensed in Illinois (150.117126) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1093546442
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameJOHN LOUIS DISSELHORST
Location Address4711 N BROADWAY ST STE 105Chicago, IL 60640-4908
Mailing Address4711 N Broadway St Ste 105Chicago, IL 60640-4908 · (815) 382-2981
Phone(815) 382-2981
Sole ProprietorNo
Enumeration DateAugust 8, 2024
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1093546442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IL · 150.117126
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
4711 N BROADWAY ST STE 105, Chicago, IL 60640
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Other Names 1

Other Name (5)Jack Disselhorst

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLIBRI COUNSELING
Psychologist
4711 N BROADWAY ST STE 105
CHICAGO, IL 60640
Cook County (312) 508-8676
DR. HECTOR L TORRES PSYD
Psychologist
4711 N BROADWAY ST STE 105
CHICAGO, IL 60640
Cook County (312) 508-8676
ROBERTO RENTERIA PHD
Psychologist (Counseling)
4711 N BROADWAY ST STE 105
CHICAGO, IL 60640
Cook County (660) 349-0546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Disselhorst's NPI number?

The NPI number for John Disselhorst is 1093546442. It was assigned to this individual provider in the NPPES registry on August 8, 2024. The provider is also known as Jack Disselhorst.

Where is John Disselhorst located?

John Disselhorst practices at 4711 N Broadway St Ste 105, Chicago, IL 60640. The listed phone number is (815) 382-2981.

What is John Disselhorst's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for John Disselhorst was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.