Provider Demographics
NPI:1295588614
Name:WHETSTONE CHICAGOLAND PSYCHOLOGICAL SERVICES, LLC
Entity type:Organization
Organization Name:WHETSTONE CHICAGOLAND PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TOUSSAINT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WHETSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:630-917-9049
Mailing Address - Street 1:930 WILLOW CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-5017
Mailing Address - Country:US
Mailing Address - Phone:630-917-9049
Mailing Address - Fax:
Practice Address - Street 1:930 WILLOW CREEK RD
Practice Address - Street 2:
Practice Address - City:WEST CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60185-5017
Practice Address - Country:US
Practice Address - Phone:630-917-9049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty