NPI 1194037788 · live from the CMS NPI Registry
Daniel M. Bader, LCPC, LMFT
Counselor, Mental Health in Chicago, IL. National Provider Identifier 1194037788, active.
NPI record
| NPI | 1194037788 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 1607 W Howard St, Third Floor, Chicago, IL 60626 |
| Practice phone | 312-742-1742 |
| Enumerated | July 12, 2010 |
| Last updated | July 12, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | 180-002045 (IL) |
| Marriage & Family Therapist | 106H00000X | 166-000437 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.