Provider Demographics
NPI:1417070137
Name:ELMHURST MEMORIAL GUIDANCE SERVICES
Entity Type:Organization
Organization Name:ELMHURST MEMORIAL GUIDANCE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:DAHLHEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:630-941-4577
Mailing Address - Street 1:183 NORTH YORK ROAD
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126
Mailing Address - Country:US
Mailing Address - Phone:630-941-4577
Mailing Address - Fax:
Practice Address - Street 1:183 NORTH YORK ROAD
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126
Practice Address - Country:US
Practice Address - Phone:630-941-4577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital