Provider Demographics
NPI:1780669275
Name:HILD, JUDITH (MA, LCPC)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:HILD
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 FORESTWAY DR
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-4809
Mailing Address - Country:US
Mailing Address - Phone:847-498-0227
Mailing Address - Fax:847-498-0858
Practice Address - Street 1:2150 PFINGSTEN RD
Practice Address - Street 2:SUITE 2200
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-1361
Practice Address - Country:US
Practice Address - Phone:847-729-0332
Practice Address - Fax:847-729-8852
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-002035101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health