Provider Demographics
NPI:1245423896
Name:POLLARD, MICHAEL E (LCSW)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:E
Last Name:POLLARD
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 N. NORTH COURT
Mailing Address - Street 2:SUITE 274
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067
Mailing Address - Country:US
Mailing Address - Phone:630-627-5000
Mailing Address - Fax:630-627-5032
Practice Address - Street 1:675 N. NORTH COURT
Practice Address - Street 2:SUITE 274
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067
Practice Address - Country:US
Practice Address - Phone:847-454-4570
Practice Address - Fax:630-627-5032
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490117921041C0700X
IL149-0117921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical