Provider Demographics
NPI:1043469984
Name:PECHA, KAREN A (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:PECHA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 OAKMONT PLAZA DR
Mailing Address - Street 2:100
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5563
Mailing Address - Country:US
Mailing Address - Phone:630-850-2120
Mailing Address - Fax:
Practice Address - Street 1:999 OAKMONT PLAZA DR
Practice Address - Street 2:100
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-5563
Practice Address - Country:US
Practice Address - Phone:630-850-2120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490027551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical