Organization
EILER THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIJAH EILER LCSW (OWNER)
(815) 990-7234
Entity
Organization
Contact information
Practice address
7127 S SAINT LAWRENCE AVE, CHICAGO, IL 60619-1102
(815) 990-7234
Mailing address
7127 S SAINT LAWRENCE AVE, CHICAGO, IL 60619-1102
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/01/2025
Last updated
02/01/2025
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