Provider Demographics
NPI:1114523586
Name:HILL, MAURICE R (MA , LPC , NCC)
Entity Type:Individual
Prefix:MR
First Name:MAURICE
Middle Name:R
Last Name:HILL
Suffix:
Gender:M
Credentials:MA , LPC , NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1038 BRADFIELD CT
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60484-3215
Mailing Address - Country:US
Mailing Address - Phone:630-697-6676
Mailing Address - Fax:
Practice Address - Street 1:1038 BRADFIELD CT
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PARK
Practice Address - State:IL
Practice Address - Zip Code:60484-3215
Practice Address - Country:US
Practice Address - Phone:630-697-6676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.016465101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty