Provider Demographics
NPI:1073681680
Name:INSEARCH
Entity Type:Organization
Organization Name:INSEARCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:T
Authorized Official - Last Name:KENNY
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-530-2220
Mailing Address - Street 1:201 E ARMY TRAIL ROAD
Mailing Address - Street 2:300D
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-2106
Mailing Address - Country:US
Mailing Address - Phone:630-530-2220
Mailing Address - Fax:773-665-1269
Practice Address - Street 1:201 E ARMY TRAIL ROAD
Practice Address - Street 2:300D
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2106
Practice Address - Country:US
Practice Address - Phone:630-530-2220
Practice Address - Fax:773-665-1269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180000746101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty