Provider Demographics
NPI:1093985558
Name:WECKLER & ASSOCIATES, LTD
Entity Type:Organization
Organization Name:WECKLER & ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:WECKLER
Authorized Official - Suffix:
Authorized Official - Credentials:CSADC, NCACII
Authorized Official - Phone:847-662-5588
Mailing Address - Street 1:68 AMBROGIO DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-3339
Mailing Address - Country:US
Mailing Address - Phone:847-662-5588
Mailing Address - Fax:847-662-5875
Practice Address - Street 1:68 AMBROGIO DR
Practice Address - Street 2:SUITE 101
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-3339
Practice Address - Country:US
Practice Address - Phone:847-662-5588
Practice Address - Fax:847-662-5875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILA-7505-0002-A251B00000X, 251S00000X
ILA-7505-0001-A251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management