Organization
BENJAMIN DURCHSLAG LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN DAVID DURCHSLAG LCSW (PRESIDENT)
(312) 860-9552
Entity
Organization
Contact information
Practice address
837 S RACINE AVE, CHICAGO, IL 60607-4123
(312) 860-9552
Mailing address
837 S RACINE AVE, CHICAGO, IL 60607-4123
(312) 860-9552
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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