Provider Demographics
NPI:1164566303
Name:GINSBERG, ESTHER IDA (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:IDA
Last Name:GINSBERG
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 WAUKEGAN RD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-2100
Mailing Address - Country:US
Mailing Address - Phone:847-998-5556
Mailing Address - Fax:847-998-9156
Practice Address - Street 1:1500 WAUKEGAN RD
Practice Address - Street 2:SUITE 213
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-2100
Practice Address - Country:US
Practice Address - Phone:847-998-5556
Practice Address - Fax:847-998-9156
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490075171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL800008613Other'RAILROAD MEDICARE' #
IL297870Medicare ID - Type UnspecifiedMEDICARE PROVIDER #