Provider Demographics
NPI:1649082314
Name:HILL, NATHAN (MED, LPC)
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:
Last Name:HILL
Suffix:
Gender:M
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 W SURF ST # 2-1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-6128
Mailing Address - Country:US
Mailing Address - Phone:216-577-3266
Mailing Address - Fax:
Practice Address - Street 1:111 N WABASH AVE STE 1400
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3074
Practice Address - Country:US
Practice Address - Phone:312-748-6030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.021188101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional