Provider Demographics
NPI:1235359399
Name:WOLFF, HOWARD W (LCSW LICENSED CLINIC)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:W
Last Name:WOLFF
Suffix:
Gender:M
Credentials:LCSW LICENSED CLINIC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:55 E WASHINGTON ST
Mailing Address - Street 2:SUITE 1221
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-2103
Mailing Address - Country:US
Mailing Address - Phone:312-332-7118
Mailing Address - Fax:312-419-8249
Practice Address - Street 1:423 CENTRAL AVE
Practice Address - Street 2:106
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-3035
Practice Address - Country:US
Practice Address - Phone:847-441-0393
Practice Address - Fax:312-419-8249
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL103TP2701X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical