Provider Demographics
NPI:1295741734
Name:KILL, DANIEL J (LCSW)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:J
Last Name:KILL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 FOREST RD
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60526-1125
Mailing Address - Country:US
Mailing Address - Phone:708-261-7423
Mailing Address - Fax:888-601-0184
Practice Address - Street 1:1101 LAKE ST
Practice Address - Street 2:SUITE 405 H
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1085
Practice Address - Country:US
Practice Address - Phone:708-432-6805
Practice Address - Fax:888-601-0184
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2016-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490019181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL4144OtherAETNA BETTER HEALTH
ILP008648OtherINTEGRATED INSIGHTS/HHRC
IL01627100OtherBLUE CROSS BLUE SHIELD IL
IL2229271OtherCOMPSYCH
IL82307OtherFIRST HEALTH/COVENTRY
IL088366OtherMHN
IL2235893OtherCIGNA
IL5651644OtherAETNA
IL79924OtherHFN
IL219851757OtherUNITED BEHAVIORAL HEALTH
ILKILDANIOtherLIFESYNC/HUMANA
ILM008648OtherHORIZON
IL099093000OtherMAGELLAN BEHAVIORAL HEALT
IL01627100OtherBLUE CROSS BLUE SHIELD IL