MR. STEPHEN MAURICE EDFORS LCPC, CADC
NPI 1972632131
Counselor - Professional in Chicago, IL
- Individual
- Male
- Counselor
- Professional
About STEPHEN EDFORS
This page provides the complete NPI Profile along with additional information for Stephen Edfors, a provider established in Chicago, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1972632131 assigned on March 2007. The practitioner's primary taxonomy code is 101YP2500X with license number 180.003641 (IL). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1972632131 Verify this NPI
- Provider Name
- MR. STEPHEN MAURICE EDFORS LCPC, CADC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 845 S DAMEN AVE CHICAGO, IL 60612
- Location Phone
- (773) 319-4007
- Location Fax
- (773) 319-4007
- Mailing Address
- 4734 N KENMORE AVE CHICAGO, IL 60640
- Mailing Phone
- (773) 319-4007
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-05-2007
- Last Update Date
- 03-12-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 180.003641
- License State
- IL
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Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972632131, enumerated as an "individual" on March 05, 2007.
The provider is located at 845 S DAMEN AVE CHICAGO, IL 60612 and the phone number is (773) 319-4007.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
