Provider Demographics
NPI:1992831069
Name:SCHEURER, JILL A (LCPC)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:A
Last Name:SCHEURER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1318 CAROL ST
Mailing Address - Street 2:APT A
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1275
Mailing Address - Country:US
Mailing Address - Phone:773-844-3008
Mailing Address - Fax:847-698-2595
Practice Address - Street 1:1550 N NORTHWEST HWY
Practice Address - Street 2:#103 C
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1411
Practice Address - Country:US
Practice Address - Phone:773-844-3008
Practice Address - Fax:847-698-2595
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
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