Tadlock, Theresa L

Tadlock, Theresa L is an sole proprietor health care provider with primary practice located at 200 W. Higgins Road Suite 312, Schaumburg IL 60195-3734. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tadlock, Theresa L can be contacted via phone (847) 490-1820.

Contact Information

Primary practice address
200 W. Higgins Road Suite 312 Schaumburg IL 60195-3734
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149005963 Illinois

Profile Details

NPI number 1518014075
LBN Legal business name Tadlock, Theresa L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Jul 8th, 2007 - about 17 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