Provider Demographics
NPI:1184309973
Name:BLOCK, KAREN H (MFT)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:H
Last Name:BLOCK
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 FOX HUNT TRL
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-4545
Mailing Address - Country:US
Mailing Address - Phone:847-702-1515
Mailing Address - Fax:
Practice Address - Street 1:8 S MICHIGAN AVE STE 2300
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-3330
Practice Address - Country:US
Practice Address - Phone:773-980-9499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty