Provider Demographics
NPI:1790241560
Name:ESSER, ALAN
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:ESSER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:858 CHOPIN PL
Mailing Address - Street 2:
Mailing Address - City:VOLO
Mailing Address - State:IL
Mailing Address - Zip Code:60073-5906
Mailing Address - Country:US
Mailing Address - Phone:262-705-4961
Mailing Address - Fax:
Practice Address - Street 1:858 CHOPIN PL
Practice Address - Street 2:
Practice Address - City:VOLO
Practice Address - State:IL
Practice Address - Zip Code:60073-5906
Practice Address - Country:US
Practice Address - Phone:262-705-4961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-15
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0154861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical