SearchIllinois1041C0700X

Brenda Black, LCSW

NPI 1245554724 · on the registry since 2010

Practice

Address
1316 W Erie St
Chicago, IL 60642
Phone
(312) 718-6996
Fax
(872) 813-5242

Additional practice sites

  • 717 Main St, Evanston, IL

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois