Provider Demographics
NPI:1609855220
Name:YORE, THOMAS THADDEUS (LCSW)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:THADDEUS
Last Name:YORE
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 1:345 N. LASALLE
Mailing Address - Street 2:#1008
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610
Mailing Address - Country:US
Mailing Address - Phone:312-467-0098
Mailing Address - Fax:312-467-0318
Practice Address - Street 1:345 N. LASALLE
Practice Address - Street 2:#1008
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610
Practice Address - Country:US
Practice Address - Phone:312-467-0098
Practice Address - Fax:312-467-0318
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical