Provider Demographics
NPI:1255561031
Name:ADELANTE, PC
Entity type:Organization
Organization Name:ADELANTE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:STANBARY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:773-486-0031
Mailing Address - Street 1:1608 N MILWAUKEE AVE
Mailing Address - Street 2:SUITE 407
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-5456
Mailing Address - Country:US
Mailing Address - Phone:773-486-0031
Mailing Address - Fax:773-486-1891
Practice Address - Street 1:1608 N MILWAUKEE AVE
Practice Address - Street 2:SUITE 407
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-5456
Practice Address - Country:US
Practice Address - Phone:773-486-0031
Practice Address - Fax:773-486-1891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-15
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0600057011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty