Beresford, Madison

Beresford, Madison is an individual health care provider with primary practice located at 265 Exchange Dr Suite 101B, Crystal Lake IL 60014-6230. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Pastoral is his primary health care specialty. Beresford, Madison can be contacted via phone (224) 286-4673.

Contact Information

Primary practice address
265 Exchange Dr Suite 101B Crystal Lake IL 60014-6230
Phone: (224) 286-4673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1215392659
LBN Legal business name Beresford, Madison
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2015
Last updated Jan 4th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers