Doctor Name: | DANICA EILERS |
NPI Number: | 1275903049 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | NONE |
Business Practice Address: | 9845 W Roosevelt Rd Westchester, IL - 601542758 |
Business Phone Number: | 7086812325 |
Business Fax Number: | |
Mailing Address: | 195 N Harbor Dr, Unit 3802 CHICAGO |
State: | IL |
Postal Code: | 606017514 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/05/2015 |
NPI Last Update Date: | 10/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | NONE |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |