Provider Demographics
NPI:1255775342
Name:BONDY, LAUREN C (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:C
Last Name:BONDY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 CHAPEL CT
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-4650
Mailing Address - Country:US
Mailing Address - Phone:847-562-9503
Mailing Address - Fax:
Practice Address - Street 1:350 PFINGSTEN RD STE 102
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2032
Practice Address - Country:US
Practice Address - Phone:847-562-9503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-19
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0158611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical