Provider Demographics
NPI:1265253744
Name:LIMBERG, PAULINE K (LPC, MA, MDIV)
Entity type:Individual
Prefix:
First Name:PAULINE
Middle Name:K
Last Name:LIMBERG
Suffix:
Gender:F
Credentials:LPC, MA, MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2312 BIRCHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-2348
Mailing Address - Country:US
Mailing Address - Phone:630-674-7473
Mailing Address - Fax:
Practice Address - Street 1:1110 W LAKE COOK RD STE 152
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-1997
Practice Address - Country:US
Practice Address - Phone:847-497-0008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.020733101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health