Provider Demographics
NPI:1023473154
Name:WILBERDING, FRANK DD II (LCSW)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:DD
Last Name:WILBERDING
Suffix:II
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:D
Other - Last Name:WILBERDING
Other - Suffix:II
Other - Last Name Type:Other Name
Other - Credentials:LCSW CADC
Mailing Address - Street 1:111 W WACKER DR
Mailing Address - Street 2:APT 3201
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-1606
Mailing Address - Country:US
Mailing Address - Phone:312-550-9876
Mailing Address - Fax:
Practice Address - Street 1:650 N DEARBORN ST
Practice Address - Street 2:SUITE 400
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-3873
Practice Address - Country:US
Practice Address - Phone:312-443-2112
Practice Address - Fax:312-291-9723
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-16
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0176261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical