Provider Demographics
NPI:1497483895
Name:MULSHINE, ELEANOR CLAIRE I (LCSW)
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:CLAIRE
Last Name:MULSHINE
Suffix:I
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 N MICHIGAN AVE STE 2029
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3611
Mailing Address - Country:US
Mailing Address - Phone:773-345-3495
Mailing Address - Fax:855-792-0240
Practice Address - Street 1:30 N MICHIGAN AVE STE 2029
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3611
Practice Address - Country:US
Practice Address - Phone:773-345-3495
Practice Address - Fax:855-792-0240
Is Sole Proprietor?:No
Enumeration Date:2022-08-12
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0214131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical