Individual
DOUGLAS VAN TIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
24755 S COUNTRY LN, CRETE, IL 60417-2658
(800) 361-6880
(708) 845-5500
Mailing address
15127 S 73RD AVE, SUITE G, ORLAND PARK, IL 60462-4398
(708) 845-5500
(708) 845-5505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.001256
IL
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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