Provider Demographics
NPI:1033749593
Name:THE CENTER FOR INSIGHT AND CONNECTION PLLC
Entity Type:Organization
Organization Name:THE CENTER FOR INSIGHT AND CONNECTION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:
Authorized Official - Last Name:DIRILTEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:630-240-1647
Mailing Address - Street 1:4614 MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-1212
Mailing Address - Country:US
Mailing Address - Phone:630-240-1647
Mailing Address - Fax:630-904-8124
Practice Address - Street 1:4614 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-1212
Practice Address - Country:US
Practice Address - Phone:630-240-1647
Practice Address - Fax:630-904-8124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-23
Last Update Date:2020-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty