Provider Demographics
NPI:1245462431
Name:STERBIS, CHARLES FRANK (LCSW)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:FRANK
Last Name:STERBIS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 S FINLEY RD APT 216
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4362
Mailing Address - Country:US
Mailing Address - Phone:630-209-4521
Mailing Address - Fax:
Practice Address - Street 1:4800 N MARINE DR
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-7859
Practice Address - Country:US
Practice Address - Phone:847-392-0265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0137491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical