Provider Demographics
NPI:1831212810
Name:CHEVALIER, DENNIS M (LCSW, CADC, ACM)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:M
Last Name:CHEVALIER
Suffix:
Gender:M
Credentials:LCSW, CADC, ACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7308 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:FOREST PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60130-2031
Mailing Address - Country:US
Mailing Address - Phone:312-927-2344
Mailing Address - Fax:312-864-9007
Practice Address - Street 1:7308 HARRISON ST
Practice Address - Street 2:
Practice Address - City:FOREST PARK
Practice Address - State:IL
Practice Address - Zip Code:60130-2031
Practice Address - Country:US
Practice Address - Phone:312-927-2344
Practice Address - Fax:312-864-9007
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL12001101YA0400X
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical