Provider Demographics
NPI:1972286854
Name:JACQUES M. SLAIHER LCPC INC.
Entity Type:Organization
Organization Name:JACQUES M. SLAIHER LCPC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INCORPORATED INDIVIDUAL/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JACQUES
Authorized Official - Middle Name:M
Authorized Official - Last Name:SLAIHER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-492-1159
Mailing Address - Street 1:515 JAMES ST STE 6
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-2174
Mailing Address - Country:US
Mailing Address - Phone:630-492-1159
Mailing Address - Fax:
Practice Address - Street 1:515 JAMES ST STE 6
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2174
Practice Address - Country:US
Practice Address - Phone:630-492-1159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)