Organization
CONCILIUM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS R HUMPHREY LCPC (OWNER)
(847) 302-4492
Entity
Organization
Contact information
Practice address
2500 W HIGGINS RD STE 1130, HOFFMAN ESTATES, IL 60169-7209
(847) 302-4492
(847) 302-4492
Mailing address
2500 W HIGGINS RD STE 1130, HOFFMAN ESTATES, IL 60169-7209
(847) 302-4492
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180002680
IL
101YP2500X
Professional Counselor
6501-125
WI
Other
Enumeration date
01/06/2018
Last updated
01/16/2018
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