Provider Demographics
NPI:1457412439
Name:YESCHEK, STEVE (LCSW)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:YESCHEK
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 1:2615 THREE OAKS RD STE 2A
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-6119
Mailing Address - Country:US
Mailing Address - Phone:708-732-3527
Mailing Address - Fax:
Practice Address - Street 1:2615 3 OAKS RD STE 2A
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:IL
Practice Address - Zip Code:60013-6119
Practice Address - Country:US
Practice Address - Phone:708-732-3527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490051871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL149005187Medicaid
IL2205509OtherBCBS
IL800012963OtherRAILROAD MEDICARE
IL2205509OtherBCBS