Provider Demographics
NPI:1942727938
Name:NEIWEEM, EKATERINA (ALMFT)
Entity Type:Individual
Prefix:MRS
First Name:EKATERINA
Middle Name:
Last Name:NEIWEEM
Suffix:
Gender:F
Credentials:ALMFT
Other - Prefix:MRS
Other - First Name:KATIA
Other - Middle Name:
Other - Last Name:NEIWEEM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1920 CHIPPENDALE RD
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-6910
Mailing Address - Country:US
Mailing Address - Phone:847-894-8964
Mailing Address - Fax:
Practice Address - Street 1:2500 W HIGGINS RD STE 105
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2040
Practice Address - Country:US
Practice Address - Phone:888-870-1775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208.000448106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist