# PRIVATE PRACTICE OF P QUEHL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558983783
- **Authorized official:** PATRICE KAREN QUEHL LMFT, LCSW (OWNER)
- **Authorized official phone:** (312) 208-5620

## Contact information

- **Practice address:** 1 E SUPERIOR ST STE 500, CHICAGO, IL 60611-2507
- **Practice address phone:** (312) 208-5620
- **Mailing address:** 930 W AINSLIE ST APT 1, CHICAGO, IL 60640-3820
- **Mailing address phone:** (312) 208-5620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2020
- **Last updated:** 05/11/2020