Individual
MR. DOUGLAS K DERHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
822 HILLGROVE AVE, SECOND FLOOR, WESTERN SPRINGS, IL 60558-1464
(773) 969-6864
(708) 300-9491
Mailing address
5351 N ASHLAND AVE, UNIT 1, CHICAGO, IL 60640-2053
(773) 896-5876
(708) 300-9491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.013400
IL
Other
Enumeration date
08/27/2009
Last updated
04/08/2017
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