Paul J. Detaege, LCSW, PC
Paul J. Detaege, LCSW, PC is a Community/Behavioral Health Agency in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5215 N Ravenswood Ave Ste 314Chicago, IL 60640-1668
Phone: (773) 988-4965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 149008180 (IL) |
|---|
Record details
| NPI number | 1861780025 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paul Detaege — President · (773) 988-4965 |
| NPI enumerated | July 20, 2011 |
| Last updated in NPPES | July 20, 2011 |
| Mailing address | 5215 N Ravenswood Ave, Suite 314, Chicago, IL 60640-1668 |
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