Provider Demographics
NPI:1629281290
Name:DEER, DENNIS (THD, LCPC, CRC)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:DEER
Suffix:
Gender:M
Credentials:THD, LCPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 W ARTHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60624-4105
Mailing Address - Country:US
Mailing Address - Phone:773-619-2586
Mailing Address - Fax:773-826-3146
Practice Address - Street 1:3333 W ARTHINGTON ST
Practice Address - Street 2:SUITE 230
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60624-4102
Practice Address - Country:US
Practice Address - Phone:773-619-2602
Practice Address - Fax:773-826-3146
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional