Provider Demographics
NPI:1326466061
Name:PRESSEL, ERIC
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:PRESSEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5384 ARTHUR CT
Mailing Address - Street 2:APT F
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-6021
Mailing Address - Country:US
Mailing Address - Phone:734-972-4385
Mailing Address - Fax:
Practice Address - Street 1:5384 ARTHUR CT
Practice Address - Street 2:APT F
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-6021
Practice Address - Country:US
Practice Address - Phone:734-972-4385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-31
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0163441041C0700X
MI68010928951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical