Provider Demographics
NPI:1952526568
Name:STARK INCH ASSOCIATES, INC.
Entity Type:Organization
Organization Name:STARK INCH ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:STARK
Authorized Official - Last Name:INCH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:847-729-8877
Mailing Address - Street 1:1701 E LAKE AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-2065
Mailing Address - Country:US
Mailing Address - Phone:847-729-8877
Mailing Address - Fax:773-728-1907
Practice Address - Street 1:1701 E LAKE AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-2065
Practice Address - Country:US
Practice Address - Phone:847-729-8877
Practice Address - Fax:773-728-1907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL582520Medicare ID - Type Unspecified