Provider Demographics
NPI:1598815094
Name:CHECK, JOSEPH MARTIN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:MARTIN
Last Name:CHECK
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 1:5228 S KENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-4006
Mailing Address - Country:US
Mailing Address - Phone:773-216-9859
Mailing Address - Fax:773-493-6940
Practice Address - Street 1:5228 S KENWOOD AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-4006
Practice Address - Country:US
Practice Address - Phone:773-216-9859
Practice Address - Fax:773-493-6940
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-000518101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01671607OtherBLUE CROSS ID #
IL208019Medicare ID - Type UnspecifiedLCSW, MENTAL HEALTH