Provider Demographics
NPI:1134908429
Name:DHAN, VINCENT (MSW, LCSW, CADC)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:
Last Name:DHAN
Suffix:
Gender:M
Credentials:MSW, LCSW, CADC
Other - Prefix:
Other - First Name:VINCENT
Other - Middle Name:
Other - Last Name:DHAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1008 E GENEVA RD
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-2816
Mailing Address - Country:US
Mailing Address - Phone:630-246-2944
Mailing Address - Fax:
Practice Address - Street 1:1008 E GENEVA RD
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-2816
Practice Address - Country:US
Practice Address - Phone:630-246-2944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-26
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1501064901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical