Provider Demographics
NPI:1265215925
Name:CHICAGOLAND COUNSELING PLLC
Entity type:Organization
Organization Name:CHICAGOLAND COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAVLU
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:630-841-8891
Mailing Address - Street 1:1315 N HIGHLAND AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-1460
Mailing Address - Country:US
Mailing Address - Phone:630-394-1379
Mailing Address - Fax:
Practice Address - Street 1:1315 N HIGHLAND AVE STE 202
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-1460
Practice Address - Country:US
Practice Address - Phone:630-394-1379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty