SearchIllinoisClinical Social Worker

Jeffrey Bulanda, PH.D., LCSW

NPI 1477878908 · on the registry since 2010 · sole proprietor

Practice

Address
3825 N Pine Grove Ave
#410
Chicago, IL 60613
Phone
(773) 550-1620
Clinicians at this address
2

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-03-26
Status
Not present in the most recent federal file

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