Provider Demographics
NPI:1770976060
Name:WEAKS, WILLIAM (LPC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:WEAKS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 E OLD WILLOW RD
Mailing Address - Street 2:
Mailing Address - City:PROSPECT HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60070-1912
Mailing Address - Country:US
Mailing Address - Phone:847-708-1758
Mailing Address - Fax:
Practice Address - Street 1:546 E OLD WILLOW RD
Practice Address - Street 2:
Practice Address - City:PROSPECT HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60070-1912
Practice Address - Country:US
Practice Address - Phone:847-708-1758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.010595101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor